DIANEAL Low Calcium with Dextrose NDC 0941-0484

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 — 18.4 mg/100mLMagnesium chloride — 5.08 mg/100mL

Dosage form

Injection, Solution

Route

Intraperitoneal

Labeler

Vantive US Healthcare LLC

Product type

Prescription drug

Marketing category

NDA — New Drug ApplicationApplication NDA 017512

Marketing start

Sep 27, 1978

Listing expires

Dec 31, 2027

Other FDA classes

Acidifying Activity (Mechanism)Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (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 Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)

Identifiers

Product ID 0941-0484_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 451W47IQ8X, TU7HW0W0QT, LX22YL083G, 02F3473H9O, M4I0D6VV5M

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

N400941048401 followed by a unit qualifier and the quantity Copy

Package 00941-0484-01. 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

Other NDCs under NDA 017512

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