NDC codes

FDA NDC Directory
Product NDC (as listed)25021-144Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0144Add 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
25021-144-99250210144991 BOTTLE in 1 CARTON (25021-144-99) / 100 mL in 1 BOTTLEMarketed from Aug 12, 2010

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)
ampicillin and sulbactam
Generic name (nonproprietary)
ampicillin and sulbactam
Active ingredients
Ampicillin sodium — 100 mg/mLSulbactam sodium — 50 mg/mL
Dosage form
Injection, Powder, For solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 065403
Marketing start
Listing expires
Other FDA classes
Penicillins (Chemical structure)beta Lactamase Inhibitors (Mechanism)
Identifiers
Product ID 25021-144_6be243c8-0de8-4b13-972f-9300db172339SPL ID 6be243c8-0de8-4b13-972f-9300db172339SPL set ID 35606b43-5914-423c-9bc7-fa3957eb2563RxCUI 240984UNII JFN36L5S8K, DKQ4T82YE6
Pharmacologic class
Penicillin-class Antibacterial; beta Lactamase Inhibitor

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

N425021014499 followed by a unit qualifier and the quantity

Package 25021-0144-99. 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 Ampicillin and Sulbactam for Injection, USP is indicated for the treatment of infections due to susceptible strains of the designated microorganisms in the conditions listed below. Skin and Skin Structure Infections caused by beta-lactamase producing strains of Staphylococcus aureus, Escherichia coli * , Klebsiella spp. * (including K. pneumoniae * ), Proteus mirabilis * , Bacteroides fragilis * , Enterobacter spp. * , and Acinetobacter calcoaceticus * . NOTE: For information on use in pediatric patients see PRECAUTIONS-Pediatric Use and CLINICAL STUDIES sections. Intra-Abdominal Infections caused by beta-lactamase producing strains of Escherichia coli , Klebsiella spp.…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 065403

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

FDA NDC Directory listings under ANDA 065403
ProductStrengthForm · routeLabelerProduct NDC
Ampicillin and Sulbactamampicillin sodium and sulbactam sodiumAmpicillin sodium 10 g/1; Sulbactam sodium 5 g/1Injection, Powder, For solutionIntravenousMeitheal Pharmaceuticals Inc.71288-033
Ampicillin and SulbactamAmpicillin sodium 100 mg/mL; Sulbactam sodium 50 mg/mLInjection, Powder, For solutionIntravenousHikma Pharmaceuticals USA Inc.0641-6118

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