Additive Formula 3 NDC Codes

Overview

Active ingredients: Dextrose monohydrate, Trisodium citrate dihydrate, Sodium chloride, Sodium phosphate, Monobasic, Monohydrate, Citric acid monohydrate, Adenine. Each product below links to its own NDC page with package NDCs in 10- and 11-digit form.

Generic name

Dextrose Monohydrate, TRISODIUM CITRATE DIHYDRATE, Sodium Chloride, SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE, Citric Acid Monohydrate, and Adenine

Active ingredients

Dextrose monohydrate, Trisodium citrate dihydrate, Sodium chloride, Sodium phosphate, Monobasic, Monohydrate, Citric acid monohydrate, Adenine

Labelers

Terumo BCT, Ltd

Strengths

Dextrose monohydrate 1.1 g/100mL; Trisodium citrate dihydrate .59 g/100mL; Sodium chloride .41 g/100mL; Sodium phosphate, Monobasic, Monohydrate .28 g/100mL; Citric acid monohydrate .042 g/100mL; Adenine .03 g/100mL

Dosage forms

Solution

Routes

Intravenous

Drug classes (FDA established)

Anti-coagulant, Calculi Dissolution Agent

HCPCS / J-code

None in Med-Code's directory for these products

Package NDCs

2

NDC codes

Newest listings first. Each row links to the product’s NDC page.

Additive Formula 3: common questions

What is the NDC for Additive Formula 3?

Additive Formula 3 has 2 product NDCs, one for each strength, dosage form and labeler; each product NDC then has one package NDC per package size. Pick the row for your product above to see its package NDCs.

Is there a J-code for Additive Formula 3?

Med-Code's curated HCPCS directory has no drug-specific code for these products. Drugs dispensed by a pharmacy are billed by NDC. NDC vs J-code.

Which NDC goes on a claim?

The package NDC of what was given, in 11-digit form. How to convert a 10-digit NDC.