NDC codes

FDA NDC Directory
Product NDC (as listed)53041-690Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53041-0690Add 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
53041-690-0353041069003120 mL in 1 BOTTLE, GLASS (53041-690-03)Marketed from Dec 18, 2019
53041-690-095304106900930 mL in 1 BOTTLE, GLASS (53041-690-09)Marketed from Dec 18, 2019

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

Generic name (nonproprietary)
diatrizoate meglumine and diatrizoate sodium
Active ingredients
Diatrizoate meglumine — 660 mg/mLDiatrizoate sodium — 100 mg/mL
Dosage form
Solution
Route
Oral, Rectal
Labeler
Guardian Drug CompanyNDC labeler code 53041
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214201
Marketing start
Listing expires
Other FDA classes
X-Ray Contrast Activity (Mechanism)X-Ray Contrast Activity (Mechanism)
Identifiers
Product ID 53041-690_9cfdb214-1075-4449-9a01-f04cf5d0edfeSPL ID 9cfdb214-1075-4449-9a01-f04cf5d0edfeSPL set ID e9da4d3d-d0ca-44f7-aaeb-ae49c3839775UNII V5403H8VG7, 3X9MR4N98U
Pharmacologic class
Radiographic Contrast 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.

NDC on a medical claim

N453041069003 followed by a unit qualifier and the quantity

Package 53041-0690-03. 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 & USAGE Diatrizoate Meglumine and Diatrizoate Sodium Solution is indicated for radiographic examination of segments of the gastrointestinal tract (esophagus, stomach, proximal small intestine, and colon). The preparation is particularly indicated when a more viscous agent such as barium sulfate, which is not water-soluble, is not feasible or is potentially dangerous. Diatrizoate Meglumine and Diatrizoate Sodium Solution may also be used as an adjunct to contrast enhancement is computed tomography of the torso (body imaging); the preparation is indicated, in conjunction with intravenous administration of a radiopaque contrast agent, when unenhanced imaging may not provide sufficie…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 53041-690

What is NDC 53041-690?
53041-690 is the product NDC for Diatrizoate Meglumine and Diatrizoate Sodium, Diatrizoate meglumine 660 mg/mL; Diatrizoate sodium 100 mg/mL solution, listed with the FDA by Guardian Drug Company. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Diatrizoate Meglumine and Diatrizoate Sodium.
What is the active ingredient?
Diatrizoate meglumine, Diatrizoate sodium.
Who is the labeler?
Guardian Drug Company, NDC labeler code 53041. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Diatrizoate Meglumine and Diatrizoate Sodium?
2 other product NDCs are listed under this name. See all Diatrizoate Meglumine and Diatrizoate Sodium 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 Diatrizoate Meglumine and Diatrizoate Sodium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Diatrizoate Meglumine and Diatrizoate SodiumDiatrizoate meglumine 660 mg/mL; Diatrizoate sodium 100 mg/mLSolutionOral, RectalCamber Pharmaceuticals, Inc.31722-01931722-0019-3131722-0019-32
Diatrizoate Meglumine and Diatrizoate SodiumDiatrizoate meglumine 660 mg/mL; Diatrizoate sodium 100 mg/mLSolutionOral, RectalGuardian Drug Company53041-68853041-0688-03

Other NDCs under ANDA 214201

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

FDA NDC Directory listings under ANDA 214201
ProductStrengthForm · routeLabelerProduct NDC
Diatrizoate Meglumine and Diatrizoate SodiumDiatrizoate meglumine 660 mg/mL; Diatrizoate sodium 100 mg/mLSolutionOral, RectalGuardian Drug Company53041-688

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