Prescription drug · NDA
Ethamolin (ethanolamine oleate) NDC 67871-479
Ethanolamine oleate 50 mg/mL · Injection, Solution · Intravenous · QOL Medical, LLC.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 67871-479-06 | 67871047906 | 10 AMPULE in 1 BOX (67871-479-06) / 2 mL in 1 AMPULEMarketed from Dec 22, 1998 |
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)
- Ethamolin
- Generic name (nonproprietary)
- ethanolamine oleate
- Active ingredients
- Ethanolamine oleate — 50 mg/mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- QOL Medical, LLC.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 019357
- Marketing start
- Listing expires
- Other FDA classes
- Sclerosing Activity (Mechanism)Vascular Sclerosing Activity (Physiologic effect)
- Identifiers
- Product ID 67871-479_45a0d13c-0c73-6c2c-e063-6394a90aaa54SPL ID 45a0d13c-0c73-6c2c-e063-6394a90aaa54SPL set ID a9c1d8c5-443e-400e-a42c-16a25fb47231RxCUI 106675, 205745UNII U4RY8MRX7C
- Pharmacologic class
- Sclerosing 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.
- 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.
- NDC on a medical claim
N467871047906followed by a unit qualifier and the quantityPackage 67871-0479-06. 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 ETHAMOLIN Injection is indicated for the treatment of patients with esophageal varices that have recently bled, to prevent rebleeding. ETHAMOLIN is not indicated for the treatment of patients with esophageal varices that have not bled. There is no evidence that treatment of this population decreases the likelihood of bleeding. Sclerotherapy with ETHAMOLIN has no beneficial effect upon portal hypertension, the cause of esophageal varices, so that recanalization and collateralization may occur, necessitating reinjection.
Excerpt only. Read the full label for complete information.