NDC codes

FDA NDC Directory
Product NDC (as listed)50914-7729Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50914-7729Add 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
50914-7729-2509147729021 VIAL, MULTI-DOSE in 1 BOX (50914-7729-2) / 4 mL in 1 VIAL, MULTI-DOSEMarketed from May 1, 1983

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)
Glofil-125
Generic name (nonproprietary)
sodium iothalamate i-125 injection
Active ingredients
Iothalamate sodium i-125 — .275 mCi/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Iso-Tex Diagnostics, Inc.NDC labeler code 50914
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 017279
Marketing start
Listing expires
Other FDA classes
Radiopharmaceutical Activity (Mechanism)
Identifiers
Product ID 50914-7729_03a98b4c-213b-4537-8d3a-aaa9f9f1cc9bSPL ID 03a98b4c-213b-4537-8d3a-aaa9f9f1cc9bSPL set ID 7f250086-2837-484b-9674-e09856b34cb0UNII 31J5U3Q9ZNUPC 0050914772920
Pharmacologic class
Radioactive Diagnostic Agent

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

N450914772902 followed by a unit qualifier and the quantity

Package 50914-7729-02. 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 GLOFIL-125 (Sodium Iothalamate I-125 Injection) is indicated for evaluation of glomerular filtration in the diagnosis or monitoring of patients with renal disease.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50914-7729

What is NDC 50914-7729?
50914-7729 is the product NDC for Glofil-125 (sodium iothalamate i-125 injection), Iothalamate sodium i-125 .275 mCi/mL injection, solution, listed with the FDA by Iso-Tex Diagnostics, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Glofil-125 (Sodium Iothalamate I-125 injection).
What is the active ingredient?
Iothalamate sodium i-125.
Who is the labeler?
Iso-Tex Diagnostics, Inc., NDC labeler code 50914. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Glofil-125?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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