Prescription drug · NDA
Acd-A NDC 0942-0641
anticoagulant citrate dextrose solution formula a · Dextrose monohydrate 24.5 g/1000mL + 2 more ingredients · Solution · Intravenous · Fenwal, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0942-0641-04 | 00942064104 | 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.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication BN 160918
- Marketing start
- Listing expires
- 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.
- NDC on a medical claim
N400942064104followed by a unit qualifier and the quantityPackage 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 .
Other NDCs under BN 160918
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| 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 |