NDC codes

FDA NDC Directory
Product NDC (as listed)0941-0424Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00941-0424Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0941-0424-51009410424511500 mL in 1 BAG (0941-0424-51)Marketed from Dec 4, 1992
0941-0424-52009410424522000 mL in 1 BAG (0941-0424-52)Marketed from Dec 4, 1992
0941-0424-53009410424532500 mL in 1 BAG (0941-0424-53)Marketed from Dec 4, 1992

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
DIANEAL Low Calcium with Dextrose
Generic name (nonproprietary)
sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose
Active ingredients
Dextrose monohydrate — 1.5 g/100mLSodium chloride — 538 mg/100mLSodium lactate — 448 mg/100mLCalcium chloride — 18.3 mg/100mLMagnesium chloride — 5.08 mg/100mL
Dosage form
Injection, Solution
Route
Intraperitoneal
Labeler
Vantive US Healthcare LLCNDC labeler code 0941
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 020183
Marketing start
Listing expires
Other FDA classes
Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers
Product ID 0941-0424_194f41a6-655b-456a-955f-7566eb429b7bSPL ID 194f41a6-655b-456a-955f-7566eb429b7bSPL set ID aa268d3f-7389-4f25-801f-5d4825495f08RxCUI 799999, 800003, 800057, 800061, 800062, 800064, 800066, 800074, 800111, 800115, 800472, 800474UNII TU7HW0W0QT, M4I0D6VV5M, 451W47IQ8X, LX22YL083G, 02F3473H9O
Pharmacologic class
Blood Coagulation Factor; Calculi Dissolution Agent; Osmotic Laxative; Phosphate Binder

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400941042451 followed by a unit qualifier and the quantity

Package 00941-0424-51. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

DIANEAL peritoneal dialysis solutions are indicated for patients in acute or chronic renal failure. For management of acute or chronic renal failure.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0941-0424

What is NDC 0941-0424?
0941-0424 is the product NDC for DIANEAL Low Calcium with Dextrose, Dextrose monohydrate 1.5 g/100mL + 4 more ingredients injection, solution, listed with the FDA by Vantive US Healthcare LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
DIANEAL Low Calcium with Dextrose (Sodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextrose).
What is the active ingredient?
Dextrose monohydrate, Sodium chloride, Sodium lactate, Calcium chloride, Magnesium chloride.
Who is the labeler?
Vantive US Healthcare LLC, NDC labeler code 0941. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for DIANEAL Low Calcium with Dextrose?
23 other product NDCs are listed under this name. See all DIANEAL Low Calcium with Dextrose NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other DIANEAL Low Calcium with Dextrose NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 1.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-070100941-0701-02
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 2.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-070300941-0703-02
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 1.36 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-073300941-0733-04
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 2.27 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-073500941-0735-04
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 1.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-068400941-0684-04
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 1.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-068600941-0686-08
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 2.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-068800941-0688-04
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 4.25 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-069200941-0692-04
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 4.25 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-069600941-0696-06
Dianeal Low Calcium With Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 1.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-072700941-0727-02

All 24 DIANEAL Low Calcium with Dextrose NDCs

Other NDCs under NDA 020183

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 020183
ProductStrengthForm · routeLabelerProduct NDC
DIANEAL Low Calcium with Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 2.5 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-0430
DIANEAL Low Calcium with Dextrosesodium chloride, sodium lactate, calcium chloride, magnesium chloride and dextroseDextrose monohydrate 4.25 g/100mL + 4 more ingredientsInjection, SolutionIntraperitonealVantive US Healthcare LLC0941-0433

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