NDC codes

FDA NDC Directory
Product NDC (as listed)67777-251Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0251Add 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
67777-251-026777702510250 BOX in 1 CASE (67777-251-02) / 10 AMPULE in 1 BOX (67777-251-01) / .33 mL in 1 AMPULEMarketed from Feb 14, 1976

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)
Ammonia Inhalants
Generic name (nonproprietary)
ammonia inhalants
Active ingredients
Ammonia — .05 g/.33mL
Dosage form
Inhalant
Route
Respiratory (Inhalation)
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 67777-251_3c176ea9-62a1-b86f-e063-6294a90ab8f7SPL ID 3c176ea9-62a1-b86f-e063-6294a90ab8f7SPL set ID 91e27f1c-0f74-413e-97ff-2fc013f22ca8RxCUI 1299889UNII 5138Q19F1XUPC 0616784140124

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

N467777025102 followed by a unit qualifier and the quantity

Package 67777-0251-02. 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)

to prevent or treat fainting

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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