Prescription drug · NDA
ACD Blood-Pack Units (PL 146 PLASTIC) NDC 0942-9001
anticoagulant citrate dextrose (acd) · Dextrose monohydrate 1.65 g/67.5mL + 2 more ingredients · Solution · Intravenous · Fenwal, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0942-9001-01 | 00942900101 | 67.5 mL in 1 BAG (0942-9001-01)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 Blood-Pack Units (PL 146 PLASTIC)
- Generic name (nonproprietary)
- anticoagulant citrate dextrose (acd)
- Active ingredients
- Dextrose monohydrate — 1.65 g/67.5mLTrisodium citrate dihydrate — 1.48 g/67.5mLAnhydrous citric acid — 493 mg/67.5mL
- 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 0942-9001_02a2ae7c-e324-4d5a-aa2a-4a4f7426fd06SPL ID 02a2ae7c-e324-4d5a-aa2a-4a4f7426fd06SPL set ID ba894daa-688e-4a9e-bd74-e71797f951bbUNII LX22YL083G, B22547B95K, 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
N400942900101followed by a unit qualifier and the quantityPackage 00942-9001-01. 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
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-Aanticoagulant citrate dextrose solution formula a | Dextrose monohydrate 24.5 g/1000mL + 2 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-0641 |
| Acd-Aanticoagulant citrate dextrose solution formula a | Dextrose monohydrate 12.25 g/500mL + 2 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-0641 |