Prescription drug · NDA
Reconstituted Air NDC 84120-005
Oxygen 210 mL/L · Gas · Respiratory (Inhalation) · WSM SUPPLIER LLC.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)84120-005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84120-0005Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84120-005-01 | 84120000501 | 408 L in 1 CYLINDER (84120-005-01)Marketed from May 7, 2024 | |
| 84120-005-02 | 84120000502 | 665 L in 1 CYLINDER (84120-005-02)Marketed from May 7, 2024 | |
| 84120-005-03 | 84120000503 | 2305 L in 1 CYLINDER (84120-005-03)Marketed from May 7, 2024 | |
| 84120-005-04 | 84120000504 | 2608 L in 1 CYLINDER (84120-005-04)Marketed from May 7, 2024 | |
| 84120-005-05 | 84120000505 | 3030 L in 1 CYLINDER (84120-005-05)Marketed from May 7, 2024 | |
| 84120-005-06 | 84120000506 | 3092.2 L in 1 CYLINDER (84120-005-06)Marketed from May 7, 2024 | |
| 84120-005-07 | 84120000507 | 5376 L in 1 CYLINDER (84120-005-07)Marketed from May 7, 2024 | |
| 84120-005-08 | 84120000508 | 5912 L in 1 CYLINDER (84120-005-08)Marketed from May 7, 2024 | |
| 84120-005-09 | 84120000509 | 6032 L in 1 CYLINDER (84120-005-09)Marketed from May 7, 2024 | |
| 84120-005-10 | 84120000510 | 6598 L in 1 CYLINDER (84120-005-10)Marketed from May 7, 2024 | |
| 84120-005-11 | 84120000511 | 6739 L in 1 CYLINDER (84120-005-11)Marketed from May 7, 2024 | |
| 84120-005-12 | 84120000512 | 7334 L in 1 CYLINDER (84120-005-12)Marketed from May 7, 2024 | |
| 84120-005-13 | 84120000513 | 8070 L in 1 CYLINDER (84120-005-13)Marketed from May 7, 2024 | |
| 84120-005-14 | 84120000514 | 8807 L in 1 CYLINDER (84120-005-14)Marketed from May 7, 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)
- Reconstituted Air
- Generic name (nonproprietary)
- reconstituted air
- Active ingredients
- Oxygen — 210 mL/L
- Dosage form
- Gas
- Route
- Respiratory (Inhalation)
- Labeler
- WSM SUPPLIER LLC.NDC labeler code 84120
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 205889
- Marketing start
- Listing expires
- Identifiers
- Product ID 84120-005_40d3cfb2-9110-7949-e063-6394a90af65bSPL ID 40d3cfb2-9110-7949-e063-6394a90af65bSPL set ID 17e3afd9-e900-1d44-e063-6294a90a0472RxCUI 347123UNII S88TT14065
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.
- NDC on a medical claim
N484120000501followed by a unit qualifier and the quantityPackage 84120-0005-01. 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 .
About NDC 84120-005
- What is NDC 84120-005?
- 84120-005 is the product NDC for Reconstituted Air, Oxygen 210 mL/L gas, listed with the FDA by WSM SUPPLIER LLC.. It has 14 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Reconstituted Air.
- What is the active ingredient?
- Oxygen.
- Who is the labeler?
- WSM SUPPLIER LLC., NDC labeler code 84120. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Reconstituted Air?
- 3 other product NDCs are listed under this name. See all Reconstituted Air NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Reconstituted Air products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Reconstituted Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | WELDERS SUPPLY COMPANY OF LOUISVILLE, INC. | 84078-004 | 84078-0004-0184078-0004-02 |
| Reconstituted Air | Oxygen 230.5 mL/L | GasRespiratory (Inhalation) | Helget Gas Products | 52086-020 | 52086-0020-0152086-0020-0252086-0020-03 |
| reconstituted Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | AMERICAN WELDING & GAS, INC. | 44076-107 | 44076-0107-0144076-0107-0244076-0107-03 |
Other NDCs under NDA 205889
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Oxygen | Oxygen 1 L/L | GasRespiratory (Inhalation) | AMO Medical Oxygen, Inc. | 62137-002 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | MAVERICK OXYGEN & RESPIRATORY EQUIPMENT, LLC | 67477-001 |
| Oxygen | Oxygen 1000 g/L | LiquidRespiratory (Inhalation) | AMO Medical Oxygen, Inc. | 62137-001 |
| Reconstituted Air | Oxygen 230.5 mL/L | GasRespiratory (Inhalation) | Helget Gas Products | 52086-020 |
| Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | SYOXSA, Inc. | 23647-003 |
| Oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | General Distributing Co. | 10451-001 |
| Oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | Fresno Oxygen & Welding Suppliers Inc | 11564-001 |
| Oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | Matheson Tri-Gas, Inc. | 55037-113 |
| Oxygen/Helium 20/80 | Oxygen 200 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-602 |
| Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | General Distributing Company | 10451-004 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | Corrigan Propane LLC dba Blue Water Industrial Products | 44517-001 |
| Oxygen/Helium 40/60 | Oxygen 400 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-632 |
| Oxygen/Helium 25/75 | Oxygen 250 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-612 |
| Oxygen/Helium 30/70 | Oxygen 300 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-622 |
| Oxygen/Nitrogen 10/90 | Oxygen 100 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-800 |
| Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | Fresno Oxygen and Welding Suppliers, Inc. | 11564-004 |
| Oxygen/Helium 50/50 | Oxygen 500 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-642 |
| Carbon Dioxide/Oxygen 5/95 | Oxygen 950 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-702 |
| Carbon Dioxide Oxygen | Oxygen 800 mL/L | GasRespiratory (Inhalation) | MATHESON TRI-GAS, INC. | 55037-712 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | TIMS SOUTH TEXAS LLC | 71227-001 |
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