NDC codes

FDA NDC Directory
Product NDC (as listed)0942-6514Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00942-6514Add 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
0942-6514-03009426514032 POUCH in 1 CARTON (0942-6514-03) / 10 KIT in 1 POUCH (0942-6514-02) / 1 KIT in 1 KIT (0942-6514-01) * 70 mL in 1 BAG * 110 mL in 1 BAGMarketed from Dec 9, 2021

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)
Adsol Red Cell Preservation
Generic name (nonproprietary)
anticoagulant citrate phosphate dextrose (cpd) and adsol preservation
Dosage form
Kit
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication BN 811104
Marketing start
Listing expires
Identifiers
Product ID 0942-6514_9842aa52-f9ec-4ebc-a70a-c79f4f5d038aSPL ID 9842aa52-f9ec-4ebc-a70a-c79f4f5d038aSPL set ID c128497f-0fec-4c98-b356-1683d223b581

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

N400942651403 followed by a unit qualifier and the quantity

Package 00942-6514-03. 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 .

Full label on DailyMed (opens in a new tab)

Other NDCs under BN 811104

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

FDA NDC Directory listings under BN 811104
ProductStrengthForm · routeLabelerProduct NDC
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6517
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6515
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6516
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6518
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6528
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6550
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6430
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6431
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6453
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6459
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6461
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6477
ADSOL Red Cell Preservation Solution System in Plastic Container (PL 146 Plastic)anticoagulant citrate phosphate dextrose (cpd) solution and adsol preservation solution—KitFenwal, Inc.0942-6493
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation kit—KitFenwal, Inc.0942-6504
Cpd/Adsolanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6505
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6506
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6507
Adsol Red Cell Preservationanticoagulant citrate phosphate dextrose (cpd) and adsol preservation—KitFenwal, Inc.0942-6508

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