What is NDC 0942-0641?

0942-0641 is the product NDC for Acd-A, Dextrose monohydrate 24.5 g/1000mL + 2 more ingredients solution, listed with the FDA by Fenwal, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Acd-A (Anticoagulant Citrate Dextrose Solution Formula A).

What is the active ingredient?

Dextrose monohydrate, Sodium citrate, Unspecified form, Anhydrous citric acid.

Fenwal, Inc., NDC labeler code 0942. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Acd-A?

3 other product NDCs are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Acd-A NDC 0942-0641 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)0942-0641Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00942-0641Add 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 NDC	11-digit (billing)	Package	Copy
0942-0641-04	0094206410400942064104	1000 mL in 1 BAG (0942-0641-04)Marketed from Mar 1, 2007

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): Acd-A
Generic name (nonproprietary): anticoagulant citrate dextrose solution formula a
Active ingredients: Dextrose monohydrate — 24.5 g/1000mLSodium citrate, Unspecified form — 22 g/1000mLAnhydrous citric acid — 7.3 g/1000mL
Dosage form: Solution
Route: Intravenous
Labeler: Fenwal, Inc.NDC labeler code 0942
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication BN 160918
Marketing start: Mar 1, 2007
Listing expires: Dec 31, 2026
Other FDA classes: Acidifying Activity (Mechanism)Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)Decreased Coagulation Factor Activity (Physiologic effect)
Identifiers: Product ID 0942-0641_1b32fa60-df62-4ab3-86ed-db2a262de054SPL ID 1b32fa60-df62-4ab3-86ed-db2a262de054SPL set ID ab19b011-0a51-4f04-9881-d9fc7cae95aeUNII LX22YL083G, 1Q73Q2JULR, XF417D3PSL
Pharmacologic class: Anti-coagulant; Calculi Dissolution Agent

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N400942064104 followed by a unit qualifier and the quantity

Package 00942-0641-04. 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 Nov 25, 2025.

Full label on DailyMed (opens in a new tab)

About NDC 0942-0641

What is NDC 0942-0641?: 0942-0641 is the product NDC for Acd-A, Dextrose monohydrate 24.5 g/1000mL + 2 more ingredients solution, listed with the FDA by Fenwal, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Acd-A (Anticoagulant Citrate Dextrose Solution Formula A).
What is the active ingredient?: Dextrose monohydrate, Sodium citrate, Unspecified form, Anhydrous citric acid.
Who is the labeler?: Fenwal, Inc., NDC labeler code 0942. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acd-A?: 3 other product NDCs are listed under this name. See all Acd-A 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 Acd-A NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Acd Acitric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate	Citric acid monohydrate .8 g/100mL + 2 more ingredients	Injection, SolutionIntravenous	Terumo BCT, Ltd	14537-810	14537-0810-12
Acd Acitric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate	Citric acid monohydrate .8 g/100mL + 2 more ingredients	Injection, SolutionIntravenous	Terumo BCT, Ltd.	14537-817	14537-0817-75
Acd Adextrose monohydrate, sodium citrate, and citric acid monohydrate	Dextrose monohydrate 2.45 g/100mL + 2 more ingredients	Injection, SolutionIntravenous	Terumo BCT Ltd	14537-967	14537-0967-75

Other NDCs under BN 160918

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

FDA NDC Directory listings under BN 160918
Product	Strength	Form · route	Labeler	Product NDC
ACD Blood-Pack Units (PL 146 PLASTIC)anticoagulant citrate dextrose (acd)	Dextrose monohydrate 1.65 g/67.5mL + 2 more ingredients	SolutionIntravenous	Fenwal, Inc.	0942-9001