NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9852Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9852Add 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
0404-9852-1000404985210004049852101 VIAL, SINGLE-DOSE in 1 BAG (0404-9852-10) / 10 mL in 1 VIAL, SINGLE-DOSEMarketed 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)
Dipyridamole
Generic name (nonproprietary)
dipyridamole
Active ingredients
Dipyridamole — 5 mg/mL
Dosage form
Injection
Route
Intravenous
Labeler
Henry Schein, Inc.NDC labeler code 0404
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 074521
Marketing start
Listing expires
Other FDA classes
Decreased Platelet Aggregation (Physiologic effect)
Identifiers
Product ID 0404-9852_aa6a1a43-815a-4c9a-9720-d3c04bad6e4dSPL ID aa6a1a43-815a-4c9a-9720-d3c04bad6e4dSPL set ID 1a2c0a9a-c637-4485-ad4b-0b6d0b05fa20RxCUI 309953UNII 64ALC7F90C
Pharmacologic class
Platelet Aggregation Inhibitor

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

N400404985210 followed by a unit qualifier and the quantity

Package 00404-9852-10. 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)

Indications and Usage Dipyridamole Injection is indicated as an alternative to exercise in thallium myocardial perfusion imaging for the evaluation of coronary artery disease in patients who cannot exercise adequately. In a study of about 1100 patients who underwent coronary arteriography and Dipyridamole Injection assisted thallium imaging, the results of both tests were interpreted blindly and the sensitivity and specificity of the dipyridamole thallium study in predicting the angiographic outcome were calculated. The sensitivity of the dipyridamole test (true positive dipyridamole divided by the total number of patients with positive angiography) was about 85%. The specificity (true negat…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0404-9852

What is NDC 0404-9852?
0404-9852 is the product NDC for Dipyridamole, Dipyridamole 5 mg/mL injection, 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?
Dipyridamole.
What is the active ingredient?
Dipyridamole.
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 Dipyridamole?
15 other product NDCs are listed under this name. See all Dipyridamole NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Dipyridamole NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
DipyridamoleDipyridamole 50 mg/1Tablet, Film coatedOralREMEDYREPACK INC.70518-465070518-4650-00
DipyridamoleDipyridamole 25 mg/1TabletOralAmneal Pharmaceuticals of New York LLC0115-107000115-1070-01
DipyridamoleDipyridamole 50 mg/1TabletOralAmneal Pharmaceuticals of New York LLC0115-107100115-1071-01
DipyridamoleDipyridamole 75 mg/1TabletOralAmneal Pharmaceuticals of New York LLC0115-107200115-1072-01
DipyridamoleDipyridamole 25 mg/1Tablet, Film coatedOralOxford Pharmaceuticals, LLC69584-18169584-0181-10
DipyridamoleDipyridamole 50 mg/1Tablet, Film coatedOralOxford Pharmaceuticals, LLC69584-18269584-0182-10
DipyridamoleDipyridamole 75 mg/1Tablet, Film coatedOralOxford Pharmaceuticals, LLC69584-18369584-0183-10
DipyridamoleDipyridamole 5 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-144751662-1447-01
DipyridamoleDipyridamole 25 mg/1Tablet, Film coatedOralZydus Lifesciences Limited65841-66265841-0662-0165841-0662-0565841-0662-10+1 more
DipyridamoleDipyridamole 50 mg/1Tablet, Film coatedOralZydus Lifesciences Limited65841-66365841-0663-0165841-0663-0565841-0663-10+1 more

All 16 Dipyridamole NDCs

Other NDCs under ANDA 074521

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

FDA NDC Directory listings under ANDA 074521
ProductStrengthForm · routeLabelerProduct NDC
DipyridamoleDipyridamole 5 mg/mLInjectionIntravenousHikma Pharmaceuticals USA Inc.0641-2569
DipyridamoleDipyridamole 5 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1447

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