NDC codes

FDA NDC Directory
Product NDC (as listed)25021-601Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0601Add 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
25021-601-03250210601031 VIAL in 1 CARTON (25021-601-03) / 3 mL in 1 VIALMarketed from Sep 15, 2012

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)
caffeine citrate
Generic name (nonproprietary)
caffeine citrate
Active ingredients
Caffeine citrate — 20 mg/mL
Dosage form
Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090827
Marketing start
Listing expires
Other FDA classes
Central Nervous System Stimulation (Physiologic effect)Xanthines (Chemical structure)
Identifiers
Product ID 25021-601_73d572f6-4f18-4198-9ffa-ec68ce101711SPL ID 73d572f6-4f18-4198-9ffa-ec68ce101711SPL set ID 5f38c395-0093-4afd-89ec-f96e5dc0934aRxCUI 849928, 849931UNII U26EO4675Q
Pharmacologic class
Central Nervous System Stimulant; Methylxanthine

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

N425021060103 followed by a unit qualifier and the quantity

Package 25021-0601-03. 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 Caffeine citrate is indicated for the treatment of apnea of prematurity.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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