NDC codes

FDA NDC Directory
Product NDC (as listed)25021-189Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0189Add 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
25021-189-842502101898410 BAG in 1 CARTON (25021-189-84) / 250 mL in 1 BAGMarketed from May 15, 2021

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)
Foscarnet Sodium
Generic name (nonproprietary)
foscarnet sodium
Active ingredients
Foscarnet sodium — 24 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 213001
Marketing start
Listing expires
Other FDA classes
Chelating Activity (Mechanism)DNA Polymerase Inhibitors (Mechanism)Pyrophosphate Analog (EXT)
Identifiers
Product ID 25021-189_f5829ec8-15e6-43a4-a5f0-68ea0cddb8c8SPL ID f5829ec8-15e6-43a4-a5f0-68ea0cddb8c8SPL set ID 2f49c1bc-0828-4e5c-a3c0-81e997213b0eRxCUI 1734377UNII 964YS0OOG1
Pharmacologic class
Pyrophosphate Analog DNA Polymerase 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

N425021018984 followed by a unit qualifier and the quantity

Package 25021-0189-84. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS CMV Retinitis Foscarnet sodium injection is indicated for the treatment of CMV retinitis in patients with acquired immunodeficiency syndrome (AIDS). Combination therapy with foscarnet sodium injection and ganciclovir is indicated for patients who have relapsed after monotherapy with either drug. SAFETY AND EFFICACY OF FOSCARNET SODIUM INJECTION HAVE NOT BEEN ESTABLISHED FOR TREATMENT OF OTHER CMV INFECTIONS (e.g., PNEUMONITIS, GASTROENTERITIS); CONGENITAL OR NEONATAL CMV DISEASE; OR NONIMMUNOCOMPROMISED INDIVIDUALS. Mucocutaneous Acyclovir Resistant HSV Infections Foscarnet sodium injection is indicated for the treatment of acyclovir-resistant mucocutaneous HSV infections in immu…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 213001

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

FDA NDC Directory listings under ANDA 213001
ProductStrengthForm · routeLabelerProduct NDC
Foscarnet SodiumFoscarnet sodium 24 mg/mLInjection, SolutionIntravenousGland Pharma Limited68083-389
Foscarnet SodiumFoscarnet sodium 6000 mg/250mLInjection, SolutionIntravenousBaxter Healthcare Corporation43066-089

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