Prescription drug · UNAPPROVED DRUG OTHER
Dibasic Sodium Phosphate, Monobasic Potassium Phosphate and Monobasic Sodium Phosphate NDC 64980-104
Sodium phosphate, Dibasic, Anhydrous 852 mg/1 + 2 more ingredients · Tablet · Oral · Rising Pharma Holdings, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 64980-104-01 | 64980010401 | 100 TABLET in 1 BOTTLE (64980-104-01)Marketed from Jun 28, 2012 |
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)
- Dibasic Sodium Phosphate, Monobasic Potassium Phosphate and Monobasic Sodium Phosphate
- Generic name (nonproprietary)
- dibasic sodium phosphate, monobasic potassium phosphate and monobasic sodium phosphate
- Active ingredients
- Sodium phosphate, Dibasic, Anhydrous — 852 mg/1Potassium phosphate, Monobasic — 155 mg/1Sodium phosphate, Monobasic, Monohydrate — 130 mg/1
- Dosage form
- Tablet
- Route
- Oral
- Labeler
- Rising Pharma Holdings, Inc.
- Product type
- Prescription drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Marketing end
- Identifiers
- Product ID 64980-104_6e5bf656-cf34-4279-b2f4-7c1893cf7275SPL ID 6e5bf656-cf34-4279-b2f4-7c1893cf7275SPL set ID b01eac95-dbe3-4b21-a922-187e0fc8ad23RxCUI 200251UNII 22ADO53M6F, 4J9FJ0HL51, 593YOG76RNUPC 0364980104012
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
N464980010401followed by a unit qualifier and the quantityPackage 64980-0104-01. 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
Current FDA label (SPL), effective .
Indications (excerpt from the label)
INDICATIONS AND USAGE PHOSPHA 250 TM NEUTRAL increases urinary phosphate and pyrophosphate. As a phosphorus supplement, each tablet supplies 25% of the U.S. Recommended Daily Allowance (U.S. RDA) of phosphorus for adults and children over 4 years of age.
Excerpt only. Read the full label for complete information.