NDC codes

FDA NDC Directory
Product NDC (as listed)17575-038Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17575-0038Add 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
17575-038-01175750038014690 L in 1 CYLINDER (17575-038-01)Marketed from Jan 1, 1966
17575-038-0217575003802515 L in 1 CYLINDER (17575-038-02)Marketed from Jan 1, 1966
17575-038-03175750038034910 L in 1 CYLINDER (17575-038-03)Marketed from Jan 1, 1966

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)
Oxygen Helium Mixture 30/70
Generic name (nonproprietary)
oxygen helium mixture 30/70
Active ingredients
Oxygen — 300 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
AGL Inhalation Therapy Co.NDC labeler code 17575
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205767
Marketing start
Listing expires
Identifiers
Product ID 17575-038_41c36c29-c24c-b53a-e063-6294a90a180aSPL ID 41c36c29-c24c-b53a-e063-6294a90a180aSPL set ID 3c799e75-d974-4f9d-bd47-0ffbd05b8b98UNII 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

N417575003801 followed by a unit qualifier and the quantity

Package 17575-0038-01. 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 17575-038

What is NDC 17575-038?
17575-038 is the product NDC for Oxygen Helium Mixture 30/70, Oxygen 300 mL/L gas, listed with the FDA by AGL Inhalation Therapy Co.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Oxygen Helium Mixture 30/70.
What is the active ingredient?
Oxygen.
Who is the labeler?
AGL Inhalation Therapy Co., NDC labeler code 17575. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Oxygen Helium Mixture 30/70?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under NDA 205767

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

FDA NDC Directory listings under NDA 205767
ProductStrengthForm · routeLabelerProduct NDC
AirOxygen 210 mL/LGasRespiratory (Inhalation)A-OX Welding Supply, LLC10297-103
AirOxygen 210 mL/LGasRespiratory (Inhalation)Haun Specialty Gases, Inc.14961-004
AirOxygen 210 mL/LGasRespiratory (Inhalation)AGL Welding Supply Co., Inc.17575-300
AirOxygen 235 mL/LGasRespiratory (Inhalation)- INDUSTRIAL WELDING SUPPLY CO. OF HARVEY, INC.42241-003
AirOxygen 210 mL/LGasRespiratory (Inhalation)Andy-Oxy Co., Inc.50063-004
AirOxygen 200 mL/LGasRespiratory (Inhalation)Maine Oxy-Acetylene Supply Company51887-502
AirOxygen 995 mL/LGasRespiratory (Inhalation)Westair Gases & Equipment, Inc.53440-007
AirOxygen 210 mL/LGasRespiratory (Inhalation)Dale Oxygen And Acetylene Service, Inc53452-003
AirOxygen 210 mL/LGasRespiratory (Inhalation)Minneapolis Oxygen Company55147-004
AirOxygen 210 mL/LGasRespiratory (Inhalation)EUGENE WELDERS SUPPLY CO64169-003
CarbogenOxygen 950 mL/LGasRespiratory (Inhalation)Westair Gases & Equipment, Inc.53440-008
CarbogenOxygen 950 mL/LGasRespiratory (Inhalation)EUGENE WELDERS SUPPLY CO64169-004
Carbon Dioxide Oxygen Mixture 5/95Oxygen 950 mL/LGasRespiratory (Inhalation)AGL Inhalation Therapy Co.17575-020
HelioxOxygen 200 mL/LGasRespiratory (Inhalation)A-OX Welding Supply, LLC10297-080
oxygenOxygen 992 mL/LGasRespiratory (Inhalation)Oz Arc/gas Equipment & Supply, Inc.10073-111
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Butler Gas Products Company10189-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)CEE-KAY SUPPLY, INC.10218-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)A-OX Welding Supply, LLC10297-100
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Haun Welding Supply, Inc.10526-005
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)MEDICAL-TECHNICAL GASES, INC.10736-202

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