Prescription drug · NDA
InterSol (Platelet additive 3) NDC 0942-9601
Sodium chloride 452 mg/100mL + 4 more ingredients · Solution · Intravenous · Fenwal, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0942-9601-12 | 0094296011200942960112 | 500 mL in 1 BAG (0942-9601-12)Marketed from Oct 25, 2012 |
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)
- InterSol
- Generic name (nonproprietary)
- platelet additive 3
- Active ingredients
- Sodium chloride — 452 mg/100mLSodium acetate — 442 mg/100mLTrisodium citrate dihydrate — 318 mg/100mLSodium phosphate, Dibasic, Unspecified form — 305 mg/100mLSodium phosphate, Monobasic, Monohydrate — 93 mg/100mL
- Dosage form
- Solution
- Route
- Intravenous
- Labeler
- Fenwal, Inc.NDC labeler code 0942
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication BN 080041
- Marketing start
- Listing expires
- Other FDA classes
- Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)
- Identifiers
- Product ID 0942-9601_e525571e-fef3-485f-a9af-858c14a7ec55SPL ID e525571e-fef3-485f-a9af-858c14a7ec55SPL set ID e4f06c0b-7cb1-49c9-97a4-2cfc21298495UNII 451W47IQ8X, 4550K0SC9B, B22547B95K, GR686LBA74, 593YOG76RN
- 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
N400942960112followed by a unit qualifier and the quantityPackage 00942-9601-12. 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 .
Indications (excerpt from the label)
Rx only For use with the AMICUS Separator only . Store at Controlled Room Temperature. Protect from freezing. Avoid excessive heat. Definition of "Controlled Room Temperature": "A temperature maintained thermostatically that encompasses the usual and customary working environment of 20° to 25°C (68° to 77°F); that results in a mean kinetic temperature calculated to be not more than 25°C; and that allows for excursions between 15°C and 30°C (59° and 86°F) that are experienced in pharmacies, hospitals, and warehouses. Provided the mean kinetic temperature remains in the allowed range, transient spikes up to 40°C are permitted as long as they do not exceed 24 hours ... The mean kinetic temperat…
Excerpt only. Read the full label for complete information.
About NDC 0942-9601
- What is NDC 0942-9601?
- 0942-9601 is the product NDC for InterSol (platelet additive 3), Sodium chloride 452 mg/100mL + 4 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?
- InterSol (Platelet Additive 3).
- What is the active ingredient?
- Sodium chloride, Sodium acetate, Trisodium citrate dihydrate, Sodium phosphate, Dibasic, Unspecified form, Sodium phosphate, Monobasic, Monohydrate.
- 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 InterSol?
- 2 other product NDCs are listed under this name. See all InterSol NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other InterSol products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| InterSolplatelet additive 3 | Sodium chloride 452 mg/100mL + 4 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-9605 | 00942-9605-01 |
| InterSolplatelet additive 3 | Sodium chloride 452 mg/100mL + 4 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-9602 | 00942-9602-12 |
Other NDCs under BN 080041
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 |
|---|---|---|---|---|
| InterSolplatelet additive 3 | Sodium chloride 452 mg/100mL + 4 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-9602 |
| InterSolplatelet additive 3 | Sodium chloride 452 mg/100mL + 4 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-9605 |
| Solucion InterSolsolucion aditiva para plaquetas 3 | Sodium chloride 452 mg/100mL + 4 more ingredients | SolutionIntravenous | Fenwal, Inc. | 0942-9603 |