NDC codes

FDA NDC Directory
Product NDC (as listed)72266-236Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72266-0236Add 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
72266-236-01722660236011 VIAL, SINGLE-DOSE in 1 CARTON (72266-236-01) / 20 mL in 1 VIAL, SINGLE-DOSEMarketed from Nov 14, 2021

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)
Sodium Phenylacetate and Sodium Benzoate
Generic name (nonproprietary)
sodium phenylacetate and sodium benzoate
Active ingredients
Sodium phenylacetate — 100 mg/mLSodium benzoate — 100 mg/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 215025
Marketing start
Listing expires
Other FDA classes
Ammonium Ion Binding Activity (Mechanism)Ammonium Ion Binding Activity (Mechanism)
Identifiers
Product ID 72266-236_18084634-4c12-58ee-e063-6294a90ac7d3SPL ID 18084634-4c12-58ee-e063-6294a90ac7d3SPL set ID cee1e9a2-bbe5-2419-e053-2a95a90ac3efRxCUI 2560228UNII 48N6U1781G, OJ245FE5EU
Pharmacologic class
Nitrogen Binding 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.

How CPT relates to drug billing

NDC on a medical claim

N472266023601 followed by a unit qualifier and the quantity

Package 72266-0236-01. 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)

Sodium Phenylacetate and Sodium Benzoate Injection is indicated as adjunctive therapy in pediatric and adult patients for the treatment of acute hyperammonemia and associated encephalopathy in patients with deficiencies in enzymes of the urea cycle. During acute hyperammonemic episodes, arginine supplementation, caloric supplementation, dietary protein restriction, hemodialysis, and other ammonia lowering therapies should be considered [ see Warnings and Precautions (5) ]. Sodium Phenylacetate and Sodium Benzoate Injection is a nitrogen binding agent indicated as adjunctive therapy for the treatment of acute hyperammonemia and associated encephalopathy in pediatric and adult patients with de…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 215025

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

FDA NDC Directory listings under NDA 215025
ProductStrengthForm · routeLabelerProduct NDC
Sodium Phenylacetate and Sodium BenzoateSodium phenylacetate 100 mg/mL; Sodium benzoate 100 mg/mLInjectionIntravenousMAIA PHARMACEUTICALS70511-102

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