Dantrium (dantrolene sodium) NDC 42023-124

NDC codes

FDA NDC Directory

Product NDC (as listed)42023-124Labeler and product segments. Claims need a package NDC.

Product NDC at billing width42023-0124Add 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
42023-124-01	42023012401	100 CAPSULE in 1 BOTTLE (42023-124-01)Marketed from Aug 1, 2008

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): Dantrium
Generic name (nonproprietary): dantrolene sodium
Active ingredients: Dantrolene sodium — 25 mg/1
Dosage form: Capsule
Route: Oral
Labeler: Par Health USA, LLC
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 017443
Marketing start: Aug 1, 2008
Listing expires: Dec 31, 2027
Other FDA classes: Decreased Striated Muscle Contraction (Physiologic effect)Decreased Striated Muscle Tone (Physiologic effect)
Identifiers: Product ID 42023-124_4bcdd632-5be8-4750-a3b6-59a2b6d8f130SPL ID 4bcdd632-5be8-4750-a3b6-59a2b6d8f130SPL set ID 57b4eec1-49e1-432c-95ae-0fe36e32d64bRxCUI 856652, 856654, 856656, 856658, 856660, 856662UNII 287M0347EVUPC 0342023126016, 0342023124012, 0342023125019
Pharmacologic class: Skeletal Muscle Relaxant

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N442023012401 followed by a unit qualifier and the quantity

Package 42023-0124-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 017443

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

FDA NDC Directory listings under NDA 017443
Product	Strength	Form · route	Labeler	Product NDC
dantrolene sodium	Dantrolene sodium 50 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4668
dantrolene sodium	Dantrolene sodium 25 mg/1	CapsuleOral	Bryant Ranch Prepack	63629-2168
dantrolene sodium	Dantrolene sodium 50 mg/1	CapsuleOral	Bryant Ranch Prepack	63629-2169
dantrolene sodium	Dantrolene sodium 25 mg/1	CapsuleOral	Par Health USA, LLC	49884-362
dantrolene sodium	Dantrolene sodium 50 mg/1	CapsuleOral	Par Health USA, LLC	49884-363
dantrolene sodium	Dantrolene sodium 100 mg/1	CapsuleOral	Par Health USA, LLC	49884-364
dantrolene sodium	Dantrolene sodium 25 mg/1	CapsuleOral	Bryant Ranch Prepack	72162-1497
dantrolene sodium	Dantrolene sodium 100 mg/1	CapsuleOral	REMEDYREPACK INC.	70518-4622