Prescription drug · NDA
Lactated Ringers and Dextrose NDC 0990-7929
Sodium chloride 600 mg/100mL + 4 more ingredients · Injection, Solution · Intravenous · ICU Medical Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0990-7929-03 | 00990792903 | 24 POUCH in 1 CASE (0990-7929-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAGMarketed from Aug 1, 2019 | |
| 0990-7929-09 | 00990792909 | 12 POUCH in 1 CASE (0990-7929-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Aug 1, 2019 |
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)
- Lactated Ringers and Dextrose
- Generic name (nonproprietary)
- sodium chloride, sodium lactate, potassium chloride, calcium chloride, and dextrose monohydrate
- Active ingredients
- Sodium chloride — 600 mg/100mLSodium lactate — 310 mg/100mLPotassium chloride — 30 mg/100mLCalcium chloride — 20 mg/100mLDextrose monohydrate — 5 g/100mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- ICU Medical Inc.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 017608
- Marketing start
- Listing expires
- Other FDA classes
- Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)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)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Potassium Compounds (Chemical structure)
- Identifiers
- Product ID 0990-7929_e1a26329-6d9c-448d-9b2f-2168015141f9SPL ID e1a26329-6d9c-448d-9b2f-2168015141f9SPL set ID d310d170-5eeb-471b-af1a-0e845001d21dRxCUI 847627, 847630UNII 660YQ98I10, LX22YL083G, M4I0D6VV5M, TU7HW0W0QT, 451W47IQ8X
- Pharmacologic class
- Blood Coagulation Factor; Osmotic Laxative; Phosphate Binder; 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
N400990792903followed by a unit qualifier and the quantityPackage 00990-7929-03. 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 .
Indications (excerpt from the label)
INDICATIONS AND USAGE These solutions are indicated for parenteral replacement of extracellular losses of fluid and electrolytes, with or without minimal carbohydrate calories, as required by the clinical condition of the patient.
Excerpt only. Read the full label for complete information.
Other NDCs under NDA 017608
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 |
|---|---|---|---|---|
| Lactated Ringers And Dextrosesodium chloride, sodium lactate, potassium chloride, calcium chloride, and dextrose monohydrate | Dextrose monohydrate 5 g/100mL + 4 more ingredients | Injection, SolutionIntravenous | HF Acquisition Co LLC, DBA HealthFirst | 51662-1521 |