Prescription drug · ANDA
Phentolamine Mesylate NDC 68094-101
Phentolamine mesylate 5 mg/1 · Injection · Intramuscular, Intravenous · Precision Dose Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 68094-101-20 | 68094010120 | 1 VIAL in 1 CARTON (68094-101-20) / 1 INJECTION in 1 VIALMarketed from Jul 15, 2017 |
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)
- Phentolamine Mesylate
- Generic name (nonproprietary)
- phentolamine mesylate
- Active ingredients
- Phentolamine mesylate — 5 mg/1
- Dosage form
- Injection
- Route
- Intramuscular, Intravenous
- Labeler
- Precision Dose Inc.
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 207686
- Marketing start
- Listing expires
- Other FDA classes
- Adrenergic alpha-Antagonists (Mechanism)
- Identifiers
- Product ID 68094-101_4ecf4179-a773-4f75-a48b-a0b2c51facc2SPL ID 4ecf4179-a773-4f75-a48b-a0b2c51facc2SPL set ID e146c7ee-d2fa-433c-8768-0945e4ff0990RxCUI 1361023UNII Y7543E5K9T
- Pharmacologic class
- alpha-Adrenergic Blocker
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
N468094010120followed by a unit qualifier and the quantityPackage 68094-0101-20. 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 Phentolamine Mesylate for Injection, USP is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine Mesylate for Injection, USP is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine Mesylate for Injection, USP is also indicated for the diagnosis of pheochromocytoma by the Phentolamine Mesylate for Injection, USP blocking test.
Excerpt only. Read the full label for complete information.