NDC codes

FDA NDC Directory
Product NDC (as listed)17575-192Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17575-0192Add 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
17575-192-01175750192014554 L in 1 CYLINDER (17575-192-01)Marketed from Jan 1, 1966
17575-192-0217575019202500 L in 1 CYLINDER (17575-192-02)Marketed from Jan 1, 1966
17575-192-03175750192034910 L in 1 CYLINDER (17575-192-03)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 20/80
Generic name (nonproprietary)
oxygen helium mixture 20/80
Active ingredients
Oxygen — 200 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 17575-192_41c377c4-ee36-0c64-e063-6394a90a6cb7SPL ID 41c377c4-ee36-0c64-e063-6394a90a6cb7SPL set ID e5f7f27b-5c9d-47f3-8312-641cb8b3ffd1RxCUI 413101UNII 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

N417575019201 followed by a unit qualifier and the quantity

Package 17575-0192-01. 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 17575-192

What is NDC 17575-192?
17575-192 is the product NDC for Oxygen Helium Mixture 20/80, Oxygen 200 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 20/80.
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 20/80?
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
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)CRYOGENIC SOLUTIONS LLC81734-001
OxygenOxygen 999 mL/LGasRespiratory (Inhalation)Baker's Gas & Welding Supplies Inc.54451-001
AirOxygen 210 mL/LGasRespiratory (Inhalation)Haun Specialty Gases, Inc.14961-004
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)PURITY CYLINDER GASES INC10927-003
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Noble Gas Solutions, Inc.17819-1072
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)United States Welding, Inc.54218-500
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)EUGENE WELDERS SUPPLY CO64169-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Haun Specialty Gases, Inc.14961-006
OxygenOxygen 992 mL/LGasRespiratory (Inhalation)James Oxygen and Supply Company49798-001
CarbogenOxygen 950 mL/LGasRespiratory (Inhalation)EUGENE WELDERS SUPPLY CO64169-004
oxygenOxygen 992 mL/LGasRespiratory (Inhalation)Oz Arc/gas Equipment & Supply, Inc.10073-111
AirOxygen 210 mL/LGasRespiratory (Inhalation)EUGENE WELDERS SUPPLY CO64169-003
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)MEDICAL-TECHNICAL GASES, INC.10736-202
OxygenOxygen 998 mL/LGasRespiratory (Inhalation)WEST PENN LACO, INC.81681-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)CEE-KAY SUPPLY, INC.10218-001
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)Jackson Welding Supply Co Inc.42068-001
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)Messer LLC52438-011
OxygenOxygen 992 mL/LGasRespiratory (Inhalation)S. J. Smith Co., Inc.11043-001
OxygenOxygen 992 mL/LGasRespiratory (Inhalation)Welders Supply Company11999-001
oxygenOxygen 990 mL/LGasRespiratory (Inhalation)A & E Mill & Welding Supply Company70273-001

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