NDC codes

FDA NDC Directory
Product NDC (as listed)61938-456Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61938-0456Add 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
61938-456-03619380456031 VIAL, GLASS in 1 CARTON (61938-456-03) / 3 mL in 1 VIAL, GLASSMarketed from Dec 12, 2002
61938-456-06619380456061 VIAL, GLASS in 1 CARTON (61938-456-06) / 6 mL in 1 VIAL, GLASSMarketed from Oct 18, 1999

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)
Infasurf
Generic name (nonproprietary)
calfactant
Active ingredients
Calfactant — 35.7 mg/mL
Dosage form
Suspension
Route
Endotracheal
Labeler
ONY Biotech Inc.NDC labeler code 61938
Product type
Prescription drug
Marketing category
BLA — Biologics License ApplicationApplication BLA 020521
Marketing start
Listing expires
Other FDA classes
Alveolar Surface Tension Reduction (Physiologic effect)Surfactant Activity (Mechanism)
Identifiers
Product ID 61938-456_49ede145-f336-f2b5-e063-6294a90aefceSPL ID 49ede145-f336-f2b5-e063-6294a90aefceSPL set ID 315c128a-272d-4c57-bfbe-1a8b3402af08RxCUI 259611, 994039UNII Q4K217VGA9UPC 0361938456063, 0361938456032
Pharmacologic class
Surfactant

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

N461938045603 followed by a unit qualifier and the quantity

Package 61938-0456-03. 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)

INFASURF is indicated: to reduce the risk of respiratory distress syndrome (RDS) in preterm neonates <29 weeks of gestational age at risk for RDS. for the rescue treatment of RDS in preterm neonates ≤72 hours of age with RDS who require endotracheal intubation. INFASURF ® is a surfactant indicated: to reduce the risk of respiratory distress syndrome (RDS) in preterm neonates < 29 weeks gestational age at risk for RDS. (1) for the rescue treatment of preterm neonates ≤72 hours of age with RDS who require endotracheal intubation. (1)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 61938-456

What is NDC 61938-456?
61938-456 is the product NDC for Infasurf (calfactant), Calfactant 35.7 mg/mL suspension, listed with the FDA by ONY Biotech Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Infasurf (Calfactant).
What is the active ingredient?
Calfactant.
Who is the labeler?
ONY Biotech Inc., NDC labeler code 61938. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Infasurf?
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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