Prescription drug · UNAPPROVED DRUG FOR USE IN DRUG SHORTAGE
Anticholium (physostigmine salicylate) NDC 81284-831
Physostigmine salicylate .4 mg/mL · Injection · Intravenous · Provepharm Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 81284-831-05 | 81284083105 | 5 AMPULE in 1 CARTON (81284-831-05) / 5 mL in 1 AMPULEMarketed from Oct 5, 2023 |
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)
- Anticholium
- Generic name (nonproprietary)
- physostigmine salicylate
- Active ingredients
- Physostigmine salicylate — .4 mg/mL
- Dosage form
- Injection
- Route
- Intravenous
- Labeler
- Provepharm Inc.
- Product type
- Prescription drug
- Marketing category
- Unapproved drug for use in drug shortage
- Marketing start
- Listing expires
- Identifiers
- Product ID 81284-831_7c1db393-3664-425f-af20-8d2175fb634eSPL ID 7c1db393-3664-425f-af20-8d2175fb634eSPL set ID b90b50e8-c8f1-4f2d-be6e-4d269b8c362cRxCUI 2666367, 2666374UNII 2046ZRO9VU
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.
- NDC on a medical claim
N481284083105followed by a unit qualifier and the quantityPackage 81284-0831-05. 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: ANTICHOLIUM ® is indicated for: 1. the use as an antidote and/or antagonist in case of intoxication with and/or overdose of: alcohol tropane alkaloids (hyoscyamine, atropine, scopolamine, as e.g. in brugmansia, datura, atropa belladonna) amanita pantherina and amanita muscaria tricyclic antidepressants (amitriptyline, imipramine, trimipramine, clomipramine, doxepine) antiemetics/antihistamines (phenothiazine, thioridazine, chlorpromazine, promethazine, diphenhydramine, dimenhydrinate) neuroleptic drugs (especially butyrophenones) benzodiazepines tolterodine, oxybutynine amantadine, diphenhydramine baclofen 4-hydroxybutyric acid (GHB) inhalation anesthetics ketamine 3-quinuclidin…
Excerpt only. Read the full label for complete information.