Ampicillin and Sulbactam NDC 72603-220

NDC codes

FDA NDC Directory

Product NDC (as listed)72603-220Labeler and product segments. Claims need a package NDC.

Product NDC at billing width72603-0220Add 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 NDC	11-digit (billing)	Package	Copy
72603-220-01	72603022001	1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE (72603-220-01)Marketed from Mar 1, 2024
72603-220-10	72603022010	10 VIAL, SINGLE-DOSE in 1 CARTON (72603-220-10) / 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSEMarketed from Mar 1, 2024

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): Ampicillin and Sulbactam
Generic name (nonproprietary): ampicillin sodium and sulbactam sodium
Active ingredients: Ampicillin sodium — 1 g/1Sulbactam sodium — .5 g/1
Dosage form: Injection, Powder, For solution
Route: Intramuscular, Intravenous
Labeler: NorthStar Rx, LLC
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 065222
Marketing start: Mar 1, 2024
Listing expires: Dec 31, 2026
Other FDA classes: Penicillins (Chemical structure)beta Lactamase Inhibitors (Mechanism)
Identifiers: Product ID 72603-220_c9fe0e6e-db1d-49ec-a16b-aa1de5ae7d5aSPL ID c9fe0e6e-db1d-49ec-a16b-aa1de5ae7d5aSPL set ID 1e5004f1-e79e-4e0b-9f3f-25f6bbc15255RxCUI 1659592, 1659598UNII DKQ4T82YE6, JFN36L5S8KUPC 0372603335019, 0372603220018
Pharmacologic class: Penicillin-class Antibacterial; beta Lactamase Inhibitor

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

N472603022001 followed by a unit qualifier and the quantity

Package 72603-0220-01. 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 Jun 27, 2024.

Indications (excerpt from the label)

INDICATIONS AND USAGE Ampicillin and sulbactam for injection is indicated for the treatment of infections due to susceptible strains of the designated microorganisms in the conditions listed below. Skin and Skin Structure Infections caused by beta-lactamase producing strains of Staphylococcus aureus , Escherichia coli ,* Klebsiella spp.* (including K. pneumoniae *), Proteus mirabilis ,* Bacteroides fragilis ,* Enterobacter spp.,* and Acinetobacter calcoaceticus .* NOTE: For information on use in pediatric patients (see PRECAUTIONS - Pediatric Use and CLINICAL STUDIES sections). Intra-Abdominal Infections caused by beta-lactamase producing strains of Escherichia coli , Klebsiella spp. (includ…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 065222

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

FDA NDC Directory listings under ANDA 065222
Product	Strength	Form · route	Labeler	Product NDC
Ampicillin and Sulbactam	Ampicillin sodium 2 g/1; Sulbactam sodium 1 g/1	Injection, Powder, For solutionIntramuscular, Intravenous	Avenacy, LLC	83634-110
Ampicillin and Sulbactam	Ampicillin sodium 1 g/1; Sulbactam sodium .5 g/1	Injection, Powder, For solutionIntramuscular, Intravenous	Avenacy, LLC	83634-109
Ampicillin and Sulbactamampicillin sodium and sulbactam sodium	Ampicillin sodium 2 g/1; Sulbactam sodium 1 g/1	Injection, Powder, For solutionIntramuscular, Intravenous	NorthStar Rx, LLC	72603-335