NDC codes

FDA NDC Directory
Product NDC (as listed)0338-1130Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00338-1130Add 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
0338-1130-0300338113003500 mL in 1 BAG (0338-1130-03)Marketed from Jun 19, 2003
0338-1130-04003381130041000 mL in 1 BAG (0338-1130-04)Marketed from Jun 19, 2003
0338-1130-06003381130062000 mL in 1 BAG (0338-1130-06)Marketed from Jun 19, 2003

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)
Premasol - sulfite-free (Amino Acid)
Generic name (nonproprietary)
leucine, lysine, isoleucine, valine, histidine, phenylalanine, threonine, methionine, tryptophan, tyrosine, n-acetyl-tyrosine, arginine, proline, alanine, glutamic acide, serine, glycine, aspartic acid, taurine, cysteine hydrochloride
Active ingredients
Leucine — 1.4 g/100mLLysine acetate — .82 g/100mLIsoleucine — .82 g/100mLValine — .78 g/100mLHistidine — .48 g/100mLPhenylalanine — .48 g/100mLThreonine — .42 g/100mLMethionine — .34 g/100mLTryptophan — .2 g/100mLTyrosine — .24 g/100mLArginine — 1.2 g/100mLProline — .68 g/100mLAlanine — .54 g/100mLGlutamic acid — .5 g/100mLSerine — .38 g/100mLGlycine — .36 g/100mLAspartic acid — .32 g/100mLTaurine — 25 mg/100mLCysteine hydrochloride — .016 g/100mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075880
Marketing start
Listing expires
Other FDA classes
Amino Acids (Chemical structure)
Identifiers
Product ID 0338-1130_c874a813-b145-4f7f-833e-97d6c4dd727cSPL ID c874a813-b145-4f7f-833e-97d6c4dd727cSPL set ID 9afdcc3e-0d06-47f4-86ca-40da48b2b02bRxCUI 801395, 801398, 801403, 801405UNII GMW67QNF9C, TTL6G7LIWZ, 04Y7590D77, HG18B9YRS7, 4QD397987E, 47E5O17Y3R, 2ZD004190S, AE28F7PNPL, 8DUH1N11BX, 42HK56048U, 94ZLA3W45F, 9DLQ4CIU6V, OF5P57N2ZX, 3KX376GY7L, 452VLY9402, TE7660XO1C, 30KYC7MIAI, 1EQV5MLY3D, ZT934N0X4W
Pharmacologic class
Amino Acid

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

N400338113003 followed by a unit qualifier and the quantity

Package 00338-1130-03. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE PREMASOL 10% injection is indicated for the nutritional support of infants (including those of low birth weight) and young children requiring TPN via either central or peripheral infusion routes. Parenteral nutrition with PREMASOL 10% injection is indicated to prevent nitrogen and weight loss or treat negative nitrogen balance in infants and young children where: (1) the alimentary tract, by the oral, gastrostomy, or jejunostomy route, cannot or should not be used, or adequate protein intake is not feasible by these routes; (2) gastrointestinal absorption of protein is impaired; or (3) protein requirements are substantially increased as with extensive burns. Dosage, rou…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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