What is NDC 24201-201?

24201-201 is the product NDC for Sodium Tetradecyl Sulfate, Sodium tetradecyl sulfate 30 mg/mL injection, solution, listed with the FDA by Hikma Pharmaceuticals USA Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.

Hikma Pharmaceuticals USA Inc., NDC labeler code 24201. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Sodium Tetradecyl Sulfate?

1 other product NDC are listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Sodium Tetradecyl Sulfate NDC 24201-201

NDC codes

FDA NDC Directory

Product NDC (as listed)24201-201Labeler and product segments. Claims need a package NDC.

Product NDC at billing width24201-0201Add 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 NDC	11-digit (billing)	Package	Copy
24201-201-05	24201020105	5 VIAL, GLASS in 1 CARTON (24201-201-05) / 2 mL in 1 VIAL, GLASS (24201-201-01)Marketed from Dec 9, 2019

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): Sodium Tetradecyl Sulfate
Generic name (nonproprietary): sodium tetradecyl sulfate
Active ingredients: Sodium tetradecyl sulfate — 30 mg/mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: Hikma Pharmaceuticals USA Inc.NDC labeler code 24201
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 209937
Marketing start: Dec 9, 2019
Listing expires: Dec 31, 2026
Identifiers: Product ID 24201-201_5c279d1b-193e-46d3-a28c-43a0d3f14f96SPL ID 5c279d1b-193e-46d3-a28c-43a0d3f14f96SPL set ID 997394e1-ec1f-4093-e053-2a95a90a0ea0RxCUI 204491UNII Q1SUG5KBD6

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

N424201020105 followed by a unit qualifier and the quantity

Package 24201-0201-05. 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 Jun 26, 2024.

Indications (excerpt from the label)

INDICATIONS AND USAGE Sodium tetradecyl sulfate injection is indicated in the treatment of small uncomplicated varicose veins of the lower extremities that show simple dilation with competent valves. The benefit- to-risk ratio should be considered in selected patients who are great surgical risks.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 24201-201

What is NDC 24201-201?: 24201-201 is the product NDC for Sodium Tetradecyl Sulfate, Sodium tetradecyl sulfate 30 mg/mL injection, solution, listed with the FDA by Hikma Pharmaceuticals USA Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Sodium Tetradecyl Sulfate.
What is the active ingredient?: Sodium tetradecyl sulfate.
Who is the labeler?: Hikma Pharmaceuticals USA Inc., NDC labeler code 24201. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sodium Tetradecyl Sulfate?: 1 other product NDC are listed under this name. See all Sodium Tetradecyl Sulfate 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 Sodium Tetradecyl Sulfate NDCs
Product	Strength	Form · route	Labeler	Product NDC	Package NDCs (11-digit)
Sodium Tetradecyl Sulfate	Tetradecyl hydrogen sulfate (Ester) 10 mg/mL	Injection, SolutionIntravenous	HF Acquisition Co LLC, DBA HealthFirst	51662-1562	51662-1562-01