NDC codes

FDA NDC Directory
Product NDC (as listed)69097-173Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69097-0173Add 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
69097-173-53690970173536 POUCH in 1 CARTON (69097-173-53) / 5 VIAL in 1 POUCH / 3 mL in 1 VIALMarketed from Dec 31, 2007
69097-173-646909701736412 POUCH in 1 CARTON (69097-173-64) / 5 VIAL in 1 POUCH / 3 mL in 1 VIALMarketed from Dec 31, 2007

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)
Ipratropium Bromide and Albuterol Sulfate
Generic name (nonproprietary)
ipratropium bromide and albuterol sulfate
Active ingredients
Albuterol sulfate — 2.5 mg/3mLIpratropium bromide — .5 mg/3mL
Dosage form
Solution
Route
Respiratory (Inhalation)
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077559
Marketing start
Listing expires
Other FDA classes
Adrenergic beta2-Agonists (Mechanism)Cholinergic Antagonists (Mechanism)
Identifiers
Product ID 69097-173_d98264d7-80fe-445f-ac85-2da23d9c374fSPL ID d98264d7-80fe-445f-ac85-2da23d9c374fSPL set ID 3c64255e-074c-41f8-a344-3686a0685020RxCUI 1437702UNII 021SEF3731, J697UZ2A9J
Pharmacologic class
Anticholinergic; beta2-Adrenergic Agonist

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

N469097017353 followed by a unit qualifier and the quantity

Package 69097-0173-53. 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 Ipratropium Bromide and Albuterol Sulfate Inhalation Solution is indicated for the treatment of bronchospasm associated with COPD in patients requiring more than one bronchodilator.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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