Prescription drug · NDA
Dextrose and Sodium Chloride NDC 0990-7941
dextrose monohydrate and sodium chloride · Dextrose monohydrate 5 g/100mL; Sodium chloride .9 g/100mL · Injection, Solution · Intravenous · ICU Medical Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0990-7941-03 | 00990794103 | 24 POUCH in 1 CASE (0990-7941-03) / 1 BAG in 1 POUCH / 500 mL in 1 BAGMarketed from Dec 1, 2019 | |
| 0990-7941-09 | 00990794109 | 12 POUCH in 1 CASE (0990-7941-09) / 1 BAG in 1 POUCH / 1000 mL in 1 BAGMarketed from Nov 15, 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)
- Dextrose and Sodium Chloride
- Generic name (nonproprietary)
- dextrose monohydrate and sodium chloride
- Active ingredients
- Dextrose monohydrate — 5 g/100mLSodium chloride — .9 g/100mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- ICU Medical Inc.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 017585
- Marketing start
- Listing expires
- Other FDA classes
- Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)
- Identifiers
- Product ID 0990-7941_4ef511b3-cb5a-468e-b1e7-584b4d4c9a29SPL ID 4ef511b3-cb5a-468e-b1e7-584b4d4c9a29SPL set ID 4555b1bf-6d97-4798-a63d-6d34291c85ceRxCUI 1794902, 1794904, 1794905, 1795149, 1795150, 1795250, 1795252, 1795254, 1795344, 1795346UNII 451W47IQ8X, LX22YL083G
- Pharmacologic class
- Osmotic Laxative
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
N400990794103followed by a unit qualifier and the quantityPackage 00990-7941-03. 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 Intravenous solutions containing dextrose and sodium chloride are indicated for parenteral replenishment of fluid, minimal carbohydrate calories, and sodium chloride as required by the clinical condition of the patient.
Excerpt only. Read the full label for complete information.