Prescription drug · NDA
Potassium Chloride in Dextrose and Sodium Chloride NDC 0990-7904
dextrose monohydrate, sodium chloride, and potassium chloride · Dextrose monohydrate 50 g/1000mL + 2 more ingredients · Injection, Solution · Intravenous · ICU Medical Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0990-7904-09 | 00990790409 | 12 POUCH in 1 CASE (0990-7904-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Feb 1, 2020 |
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)
- Potassium Chloride in Dextrose and Sodium Chloride
- Generic name (nonproprietary)
- dextrose monohydrate, sodium chloride, and potassium chloride
- Active ingredients
- Dextrose monohydrate — 50 g/1000mLSodium chloride — 4.5 g/1000mLPotassium chloride — 2.98 g/1000mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- ICU Medical Inc.NDC labeler code 0990
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 018362
- Marketing start
- Listing expires
- Other FDA classes
- Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
- Identifiers
- Product ID 0990-7904_11a3a5e5-57e6-49b9-bed9-c4db277a38beSPL ID 11a3a5e5-57e6-49b9-bed9-c4db277a38beSPL set ID d8ee14e9-6733-4813-9f21-2b043a5f7188RxCUI 615099, 615100, 615107, 615111, 630796, 1863605, 1863607, 1863973UNII 660YQ98I10, LX22YL083G, 451W47IQ8X
- Pharmacologic class
- Osmotic Laxative; Potassium Salt
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
N400990790409followed by a unit qualifier and the quantityPackage 00990-7904-09. 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)
INDICATIONS AND USAGE These solutions are indicated in patients requiring parenteral administration of potassium chloride with minimal carbohydrate calories and sodium chloride.
Excerpt only. Read the full label for complete information.
About NDC 0990-7904
- What is NDC 0990-7904?
- 0990-7904 is the product NDC for Potassium Chloride in Dextrose and Sodium Chloride, Dextrose monohydrate 50 g/1000mL + 2 more ingredients injection, solution, listed with the FDA by ICU Medical Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Potassium Chloride in Dextrose and Sodium Chloride (DEXTROSE MONOHYDRATE, SODIUM CHLORIDE, and POTASSIUM CHLORIDE).
- What is the active ingredient?
- Dextrose monohydrate, Sodium chloride, Potassium chloride.
- Who is the labeler?
- ICU Medical Inc., NDC labeler code 0990. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Potassium Chloride in Dextrose and Sodium Chloride?
- 29 other product NDCs are listed under this name. See all Potassium Chloride in Dextrose and Sodium Chloride NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Potassium Chloride in Dextrose and Sodium Chloride products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-151 | 65219-0151-75 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-153 | 65219-0153-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-118 | 65219-0118-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-119 | 65219-0119-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-142 | 65219-0142-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-144 | 65219-0144-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-146 | 65219-0146-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-148 | 65219-0148-10 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 25 g/500mL + 2 more ingredients | Injection, SolutionIntravenous | Fresenius Kabi USA, LLC | 65219-150 | 65219-0150-75 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | ICU Medical Inc. | 0990-7901 | 00990-7901-09 |
All 30 Potassium Chloride in Dextrose and Sodium Chloride NDCs
Other NDCs under NDA 018362
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 |
|---|---|---|---|---|
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | ICU Medical Inc. | 0990-7902 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | ICU Medical Inc. | 0990-7903 |
| Potassium Chloride in Dextrose and Sodium Chloridedextrose monohydrate, sodium chloride, and potassium chloride | Dextrose monohydrate 50 g/1000mL + 2 more ingredients | Injection, SolutionIntravenous | ICU Medical Inc. | 0990-7993 |