Prescription drug · NDA
Infant Dextrose (Dextrose) NDC 0404-9844
Dextrose monohydrate 250 mg/mL · Injection, Solution · Intravenous · Henry Schein, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0404-9844-10 | 0040498441000404984410 | 1 SYRINGE in 1 BAG (0404-9844-10) / 10 mL in 1 SYRINGEMarketed from Jan 10, 2022 |
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)
- Infant Dextrose
- Generic name (nonproprietary)
- dextrose
- Active ingredients
- Dextrose monohydrate — 250 mg/mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- Henry Schein, Inc.NDC labeler code 0404
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 019445
- Marketing start
- Listing expires
- Identifiers
- Product ID 0404-9844_5a644e29-2eda-4288-b208-b5a4d56ac2baSPL ID 5a644e29-2eda-4288-b208-b5a4d56ac2baSPL set ID ce71d929-d11e-444c-bd45-e025d5172057RxCUI 727518UNII 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.
- NDC on a medical claim
N400404984410followed by a unit qualifier and the quantityPackage 00404-9844-10. 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 (25%) is indicated for the treatment of acute symptomatic episodes of hypoglycemia in pediatric patients from birth up to 2 years of age. Dextrose Injection (25%) is indicated for the treatment of acute symptomatic episodes of hypoglycemia in pediatric patients younger than 2 years old. (1)
Excerpt only. Read the full label for complete information.
About NDC 0404-9844
- What is NDC 0404-9844?
- 0404-9844 is the product NDC for Infant Dextrose (dextrose), Dextrose monohydrate 250 mg/mL injection, solution, listed with the FDA by Henry Schein, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Infant Dextrose (Dextrose).
- What is the active ingredient?
- Dextrose monohydrate.
- Who is the labeler?
- Henry Schein, Inc., NDC labeler code 0404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Infant Dextrose?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Other NDCs under NDA 019445
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 |
|---|---|---|---|---|
| 25% Dextrose Infant | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | HF Acquisition Co. LLC, DBA Health First | 51662-1213 |
| 50% Dextrose | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | HF Acquisition Co LLC, DBA HealthFirst | 51662-1216 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Henry Schein, Inc. | 0404-9845 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Henry Schein, Inc. | 0404-9847 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-1775 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-6648 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-7517 |
| Dextrose | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | HF Acquisition Co LLC, DBA HealthFirst | 51662-1215 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | REMEDYREPACK INC. | 70518-4219 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | REMEDYREPACK INC. | 70518-4452 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7003 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7057 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7214 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | ProPharma Distribution | 84549-517 |