NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7981Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7981Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0990-7981-08009907981084 POUCH in 1 CASE (0990-7981-08) / 1 BAG in 1 POUCH / 3000 mL in 1 BAGMarketed from Oct 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)
Sorbitol-Mannitol
Generic name (nonproprietary)
sorbitol and mannitol
Active ingredients
Sorbitol — 2.7 g/100mLMannitol — .54 g/100mL
Dosage form
Irrigant
Route
Urethral
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018316
Marketing start
Listing expires
Other FDA classes
Increased Diuresis (Physiologic effect)Osmotic Activity (Mechanism)
Identifiers
Product ID 0990-7981_fba5680c-d4e6-461a-95e3-25edd33ba39cSPL ID fba5680c-d4e6-461a-95e3-25edd33ba39cSPL set ID 5b44e248-4b7b-4777-954a-921c7b309944RxCUI 311446UNII 506T60A25R, 3OWL53L36A
Pharmacologic class
Osmotic Diuretic

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.

NDC on a medical claim

N400990798108 followed by a unit qualifier and the quantity

Package 00990-7981-08. 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 Sorbitol-Mannitol Irrigation is indicated for use as a urologic irrigating fluid during transurethral prostatic resection and other transurethral surgical procedures.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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