NDC codes

FDA NDC Directory
Product NDC (as listed)71872-7209Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71872-7209Add 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
71872-7209-1718727209011 VIAL, SINGLE-DOSE in 1 BAG (71872-7209-1) / 2 mL in 1 VIAL, SINGLE-DOSEMarketed from Mar 30, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
adenosine
Generic name (nonproprietary)
adenosine
Active ingredients
Adenosine — 3 mg/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 078686
Marketing start
Listing expires
Other FDA classes
Adenosine Receptor Agonists (Mechanism)
Identifiers
Product ID 71872-7209_fad2cfd6-08a5-a491-e053-6394a90a5043SPL ID fad2cfd6-08a5-a491-e053-6394a90a5043SPL set ID a2a2fef9-d305-40ba-e053-2a95a90a0c54RxCUI 1654169UNII K72T3FS567
Pharmacologic class
Adenosine Receptor 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.

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

N471872720901 followed by a unit qualifier and the quantity

Package 71872-7209-01. 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 Intravenous adenosine injection is indicated for the following: Conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome). When clinically advisable, appropriate vagal maneuvers (e.g., Valsalva maneuver), should be attempted prior to adenosine administration. It is important to be sure the adenosine injection solution actually reaches the systemic circulation (see Dosage and Administration ). Adenosine injection does not convert atrial flutter, atrial fibrillation, or ventricular tachycardia to normal sinus rhythm. In the presence of atrial flutter or atrial fibri…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 078686

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

FDA NDC Directory listings under ANDA 078686
ProductStrengthForm · routeLabelerProduct NDC
adenosineAdenosine 3 mg/mLInjectionIntravenousMylan Institutional LLC72078-033
AdenosineAdenosine 3 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1631
adenosineAdenosine 3 mg/mLInjectionIntravenousMylan Institutional LLC67457-854
adenosineAdenosine 3 mg/mLInjectionIntravenousMylan Institutional LLC67457-855

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