NDC codes

FDA NDC Directory
Product NDC (as listed)0338-0017Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00338-0017Add 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 NDC11-digit (billing)PackageCopy
0338-0017-0200338001702250 mL in 1 BAG (0338-0017-02)Marketed from Mar 4, 1971
0338-0017-0300338001703500 mL in 1 BAG (0338-0017-03)Marketed from Mar 4, 1971
0338-0017-04003380017041000 mL in 1 BAG (0338-0017-04)Marketed from Mar 4, 1971
0338-0017-10003380017104 BAG in 1 POUCH (0338-0017-10) / 25 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-11003380017114 BAG in 1 POUCH (0338-0017-11) / 50 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-18003380017184 BAG in 1 POUCH (0338-0017-18) / 100 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-310033800173116 BAG in 1 POUCH (0338-0017-31) / 50 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-380033800173816 BAG in 1 POUCH (0338-0017-38) / 100 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-41003380017411 BAG in 1 PACKAGE (0338-0017-41) / 50 mL in 1 BAGMarketed from Mar 4, 1971
0338-0017-48003380017481 BAG in 1 PACKAGE (0338-0017-48) / 100 mL in 1 BAGMarketed from Mar 4, 1971

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
Dextrose
Generic name (nonproprietary)
dextrose monohydrate
Active ingredients
Dextrose monohydrate — 50 g/1000mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 016673
Marketing start
Listing expires
Identifiers
Product ID 0338-0017_9c644eb4-5844-415a-8c01-4459d98af222SPL ID 9c644eb4-5844-415a-8c01-4459d98af222SPL set ID 3bb406a9-f5cb-403a-b1bb-5c4facbea3d5RxCUI 1795477, 1795480, 1795481, 1795607, 1795609, 1795610, 1795612, 1795616, 1795618UNII LX22YL083G

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

N400338001702 followed by a unit qualifier and the quantity

Package 00338-0017-02. 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)

Dextrose Injection (5% and 10%) is indicated as source of water and calories in adult and pediatric patients, and may also be used as a diluent for reconstitution of a powder or liquid drug product. Dextrose Injection (5% and 10%) is indicated as a source of water and calories in adults and pediatric patients, and may also be used as a diluent for reconstitution of a powder or liquid drug product. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 016673

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

FDA NDC Directory listings under NDA 016673
ProductStrengthForm · routeLabelerProduct NDC
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-9649
Dextrosedextrose monohydrateDextrose monohydrate 2.5 g/50mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-9651
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-9653
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0062
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-9655
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0066
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0070
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0074
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0078
Dextrosedextrose monohydrateDextrose monohydrate 5 g/100mLInjection, SolutionIntravenousBaxter Healthcare Corporation0338-0082

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