Lactated Ringers NDC 76420-129

NDC codes

FDA NDC Directory

Product NDC (as listed)76420-129Labeler and product segments. Claims need a package NDC.

Product NDC at billing width76420-0129Add 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
76420-129-01	76420012901	1000 mL in 1 BAG (76420-129-01)Marketed from Oct 29, 2020

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): Lactated Ringers
Generic name (nonproprietary): sodium chloride, sodium lactate, potassium chloride, and calcium chloride
Active ingredients: Sodium chloride — 600 mg/100mLSodium lactate — 310 mg/100mLPotassium chloride — 30 mg/100mLCalcium chloride — 20 mg/100mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: Asclemed USA, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 017641
Marketing start: Jun 24, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers: Product ID 76420-129_b2c9498d-2899-3ee5-e053-2a95a90af167SPL ID b2c9498d-2899-3ee5-e053-2a95a90af167SPL set ID afac6cc5-1ced-4639-b6f6-86f40ef5c30eRxCUI 847630UNII 451W47IQ8X, TU7HW0W0QT, 660YQ98I10, M4I0D6VV5M
Pharmacologic class: Blood Coagulation Factor; Osmotic Laxative; Potassium Salt

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

N476420012901 followed by a unit qualifier and the quantity

Package 76420-0129-01. 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 Oct 29, 2020.

Indications (excerpt from the label)

INDICATIONS AND USAGE These solutions are indicated for parenteral replacement of extracellular losses of fluid and electrolytes, with or without minimal carbohydrate calories, as required by the clinical condition of the patient.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 017641

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

FDA NDC Directory listings under NDA 017641
Product	Strength	Form · route	Labeler	Product NDC
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, calcium chloride	Sodium chloride 600 mg/100mL + 3 more ingredients	Injection, SolutionIntravenous	HF Acquisition Co LLC, DBA HealthFirst	51662-1516
Lactated Ringerssodium chloride, sodium lactate, potassium chloride, and calcium chloride	Sodium chloride 600 mg/100mL + 3 more ingredients	Injection, SolutionIntravenous	ICU Medical Inc.	0990-7953