NDC codes

FDA NDC Directory
Product NDC (as listed)42494-416Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42494-0416Add 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
42494-416-03424940416033 VIAL in 1 BOX, UNIT-DOSE (42494-416-03) / 1 mL in 1 VIALMarketed from Feb 5, 2020
42494-416-254249404162525 VIAL in 1 BOX, UNIT-DOSE (42494-416-25) / 1 mL in 1 VIALMarketed from Feb 5, 2020

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)
Phenobarbital Sodium
Generic name (nonproprietary)
phenobarbital sodium
Active ingredients
Phenobarbital sodium — 130 mg/mL
Dosage form
Injection
Route
Intramuscular
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
DEA schedule
CIV
Identifiers
Product ID 42494-416_f69a86e8-b217-47eb-b536-2b5677cfe85fSPL ID f69a86e8-b217-47eb-b536-2b5677cfe85fSPL set ID 50e73787-ede1-4839-aaa5-806e25f18b1aRxCUI 2671204, 2671207UNII SW9M9BB5K3

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

N442494041603 followed by a unit qualifier and the quantity

Package 42494-0416-03. 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 Parenteral Sedative. Sedation is obtainable within an hour, and in adequate dosage, the duration of action is more than six hours. Included in the more common conditions in which the sedative action of this class of drugs is desired are anxiety-tension states, hyperthyroidism, essential hypertension, nausea and vomiting of functional origin, motion sickness, acute labyrinthitis, pylorospasm in infants, chorea and cardiac failure. Phenobarbital is also a useful adjunct in treatment of hemorrhage from the respiratory or gastrointestinal tract. Phenobarbital controls anxiety, decreases muscular activity and lessens nervous excitability in hyperthyroid patients. However, th…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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