NDC codes

FDA NDC Directory
Product NDC (as listed)39822-3030Labeler and product segments. Claims need a package NDC.
Product NDC at billing width39822-3030Add 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
39822-3030-2398223030021 VIAL, SINGLE-DOSE in 1 CARTON (39822-3030-2) / 6 mL in 1 VIAL, SINGLE-DOSE (39822-3030-1)Marketed from Apr 4, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Pentamidine Isethionate
Generic name (nonproprietary)
pentamidine isethionate
Active ingredients
Pentamidine isethionate — 300 mg/6mL
Dosage form
Inhalant
Route
Respiratory (Inhalation)
Labeler
XGen Pharmaceuticals DJB, Inc.NDC labeler code 39822
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 206983
Marketing start
Listing expires
Identifiers
Product ID 39822-3030_13f0833c-208d-be41-e063-6294a90a627bSPL ID 13f0833c-208d-be41-e063-6294a90a627bSPL set ID 490a231d-bb24-403d-9733-1a562ecd5917RxCUI 861597UNII V2P3K60DA2UPC 0339822303021
Pharmacologic class
Antiprotozoal

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

N439822303002 followed by a unit qualifier and the quantity

Package 39822-3030-02. 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 Pentamidine Isethionate is indicated for the prevention of Pneumocystis jiroveci pneumonia (PJP) in high-risk, HIV-infected patients defined by one or both of the following criteria: i. a history of one or more episodes of PJP ii. a peripheral CD4+ (T4 helper/inducer) lymphocyte count less than or equal to 200/mm 3 . These indications are based on the results of an 18-month randomized, dose-response trial in high risk HIV-infected patients and on existing epidemiological data from natural history studies. The patient population of the controlled trial consisted of 408 patients, 237 of whom had a history of one or more episodes of PJP. The remaining patients without a hi…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 39822-3030

What is NDC 39822-3030?
39822-3030 is the product NDC for Pentamidine Isethionate, Pentamidine isethionate 300 mg/6mL inhalant, listed with the FDA by XGen Pharmaceuticals DJB, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pentamidine Isethionate.
What is the active ingredient?
Pentamidine isethionate.
Who is the labeler?
XGen Pharmaceuticals DJB, Inc., NDC labeler code 39822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pentamidine Isethionate?
6 other product NDCs are listed under this name. See all Pentamidine Isethionate 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 Pentamidine Isethionate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pentamidine IsethionatePentamidine diisethionate 300 mg/300mgInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousPAI Holdings, LLC dba PAI Pharma0121-110100121-1101-02
Pentamidine IsethionatePentamidine diisethionate 300 mg/300mgInhalantRespiratory (Inhalation)PAI Holdings, LLC dba PAI Pharma0121-110200121-1102-55
Pentamidine IsethionatePentamidine isethionate 300 mg/3mLInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousXGen Pharmaceuticals DJB, Inc.39822-305039822-3050-02
pentamidine isethionatePentamidine isethionate 300 mg/300mgInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousHeritage Pharmaceuticals Inc. d/b/a Avet Pharmaceuticals Inc.23155-74823155-0748-41
Pentamidine IsethionatePentamidine isethionate 300 mg/300mgInhalantRespiratory (Inhalation)Seton Pharmaceuticals13925-52213925-0522-01
Pentamidine IsethionatePentamidine isethionate 300 mg/300mgInjection, Powder, Lyophilized, For solutionIntramuscular, IntravenousSeton Pharmaceuticals13925-51513925-0515-10

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