NDC codes

FDA NDC Directory
Product NDC (as listed)11054-041Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11054-0041Add 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
11054-041-0111054004101300 L in 1 CYLINDER (11054-041-01)Marketed from Oct 14, 1997
11054-041-0211054004102500 L in 1 CYLINDER (11054-041-02)Marketed from Oct 14, 1997
11054-041-03110540041032260 L in 1 CYLINDER (11054-041-03)Marketed from Oct 14, 1997
11054-041-04110540041044000 L in 1 CYLINDER (11054-041-04)Marketed from Oct 14, 1997
11054-041-05110540041054500 L in 1 CYLINDER (11054-041-05)Marketed from Oct 14, 1997

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
Helium, Oxygen
Generic name (nonproprietary)
helium, oxygen
Active ingredients
Helium — 800 mL/LOxygen — 200 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
AIRGAS USA, LLCNDC labeler code 11054
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 205843
Marketing start
Listing expires
Identifiers
Product ID 11054-041_33379203-e590-4023-ad77-9da6775d4624SPL ID 33379203-e590-4023-ad77-9da6775d4624SPL set ID 58ba729f-cca1-4e08-a131-dbe91258d99dRxCUI 542169UNII 206GF3GB41, S88TT14065

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

N411054004101 followed by a unit qualifier and the quantity

Package 11054-0041-01. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 11054-041

What is NDC 11054-041?
11054-041 is the product NDC for Helium, Oxygen, Helium 800 mL/L; Oxygen 200 mL/L gas, listed with the FDA by AIRGAS USA, LLC. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Helium, Oxygen.
What is the active ingredient?
Helium, Oxygen.
Who is the labeler?
AIRGAS USA, LLC, NDC labeler code 11054. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Helium, Oxygen?
1 other product NDC are listed under this name. See all Helium, Oxygen NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Helium, Oxygen NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Helium, OxygenHelium 600 mL/L; Oxygen 400 mL/LGasRespiratory (Inhalation)AIRGAS USA, LLC11054-04211054-0042-0111054-0042-0211054-0042-03+4 more

Other NDCs under NDA 205843

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 205843
ProductStrengthForm · routeLabelerProduct NDC
HeliumHelium 992 mL/LGasIntracoronary, Respiratory (Inhalation)AIRGAS USA, LLC11054-004
Helium Oxygen mixtureHelium 700 mL/L; Oxygen 300 mL/LGasRespiratory (Inhalation)Airgas Usa, LLC11054-032
Helium, OxygenHelium 600 mL/L; Oxygen 400 mL/LGasRespiratory (Inhalation)AIRGAS USA, LLC11054-042
HeliumHelium 992 mL/LGasRespiratory (Inhalation)WSM SUPPLIER LLC.84120-001
HeliumHelium 99 L/100LGasRespiratory (Inhalation)Air Source Industries Inc10167-300

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