Prescription drug · ANDA

Dextrose (dextrose monohydrate) NDC 17271-720

Dextrose monohydrate 50 mg/mL · Injection, Solution · Intravenous · Becton Dickinson and Company

NDC codes

FDA NDC Directory
Product NDC (as listed)17271-720Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17271-0720Add 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
17271-720-021727107200260 BAG in 1 CASE (17271-720-02) / 50 mL in 1 BAGMarketed from Jul 31, 2018
17271-720-031727107200350 BAG in 1 CASE (17271-720-03) / 100 mL in 1 BAGMarketed from Mar 9, 2020
17271-720-051727107200530 BAG in 1 CASE (17271-720-05) / 250 mL in 1 BAGMarketed from Oct 21, 2016
17271-720-061727107200620 BAG in 1 CASE (17271-720-06) / 500 mL in 1 BAGMarketed from Oct 21, 2016
17271-720-071727107200710 BAG in 1 CASE (17271-720-07) / 1000 mL in 1 BAGMarketed from Oct 21, 2016

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)
Dextrose
Generic name (nonproprietary)
dextrose monohydrate
Active ingredients
Dextrose monohydrate — 50 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207449
Marketing start
Listing expires
Identifiers
Product ID 17271-720_00553bc9-c0a8-4b3d-95d1-65f2b8a7e021SPL ID 00553bc9-c0a8-4b3d-95d1-65f2b8a7e021SPL set ID c1f72bce-4bef-49db-a8da-f26a703d6748RxCUI 1795607, 1795609, 1795610, 1795612, 1795616UNII LX22YL083G

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.

How CPT relates to drug billing

NDC on a medical claim

N417271072002 followed by a unit qualifier and the quantity

Package 17271-0720-02. 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 are indicated for parenteral replenishment of fluid and minimal carbohydrate calories as required by the clinical condition of the patient.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207449

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

FDA NDC Directory listings under ANDA 207449
ProductStrengthForm · routeLabelerProduct NDC
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-624
Dextrosedextrose monohydrateDextrose monohydrate 2500 mg/50mLInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-234
Dextrosedextrose monohydrateDextrose monohydrate 25000 mg/500mLInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-240
Dextrosedextrose monohydrateDextrose monohydrate 5000 mg/100mLInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-236
Dextrosedextrose monohydrateDextrose monohydrate 12500 mg/250mLInjection, SolutionIntravenousFresenius Kabi USA, LLC65219-238
Dextrosedextrose monohydrateDextrose monohydrate 2500 mg/50mLInjection, SolutionIntravenousBECTON DICKINSON AND COMPANY17271-772
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-458
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-456
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-460
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-462
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-464
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousProPharma Distribution84549-460

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