NDC codes

FDA NDC Directory
Product NDC (as listed)65219-811Labeler and product segments. Claims need a package NDC.
Product NDC at billing width65219-0811Add 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
65219-811-106521908111010 VIAL, MULTI-DOSE in 1 TRAY (65219-811-10) / 10 mL in 1 VIAL, MULTI-DOSE (65219-811-01)Marketed from Jan 9, 2023

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)
Neostigmine Methylsulfate
Generic name (nonproprietary)
neostigmine methylsulfate
Active ingredients
Neostigmine methylsulfate — 1 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 203629
Marketing start
Listing expires
Other FDA classes
Cholinesterase Inhibitors (Mechanism)
Identifiers
Product ID 65219-811_0831f9a8-b6ff-4b49-91ad-8177f968f543SPL ID 0831f9a8-b6ff-4b49-91ad-8177f968f543SPL set ID 088f96eb-20b8-48f8-ac83-329f75a44ce1RxCUI 311936UNII 98IMH7M386UPC 0365219811015
Pharmacologic class
Cholinesterase Inhibitor

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

N465219081110 followed by a unit qualifier and the quantity

Package 65219-0811-10. 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)

Neostigmine Methylsulfate Injection, a cholinesterase inhibitor, is indicated for reversal of the effects of nondepolarizing neuromuscular blocking agents (NMBA) after surgery. Neostigmine Methylsulfate, a cholinesterase inhibitor, is indicated for reversal of the effects of nondepolarizing neuromuscular blocking agents (NMBA) after surgery ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 203629

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

FDA NDC Directory listings under NDA 203629
ProductStrengthForm · routeLabelerProduct NDC
Neostigmine MethylsulfateNeostigmine methylsulfate 1 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC76045-214
Neostigmine MethylsulfateNeostigmine methylsulfate 1 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-415
Neostigmine MethylsulfateNeostigmine methylsulfate .5 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-413
Neostigmine MethylsulfateNeostigmine methylsulfate .5 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-413
Neostigmine MethylsulfateNeostigmine methylsulfate 1 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC76045-383
Neostigmine MethylsulfateNeostigmine methylsulfate 1 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-415

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