NDC codes

FDA NDC Directory
Product NDC (as listed)0404-9993Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00404-9993Add 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
0404-9993-0200404999302004049993021 VIAL, SINGLE-USE in 1 BAG (0404-9993-02) / 2 mL in 1 VIAL, SINGLE-USEMarketed from Jun 28, 2023

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)
Adenosine
Generic name (nonproprietary)
adenosine injection, solution
Active ingredients
Adenosine — 3 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Henry Schein, Inc.NDC labeler code 0404
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077133
Marketing start
Listing expires
Other FDA classes
Adenosine Receptor Agonists (Mechanism)
Identifiers
Product ID 0404-9993_47940007-a18b-41a8-8aa8-92e28da7545dSPL ID 47940007-a18b-41a8-8aa8-92e28da7545dSPL set ID d28ff4f3-baf4-4640-ae00-f0eb065417beRxCUI 1654169UNII K72T3FS567
Pharmacologic class
Adenosine Receptor Agonist

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

N400404999302 followed by a unit qualifier and the quantity

Package 00404-9993-02. 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)

INDICATIONS AND USAGE Intravenous adenosine injection is indicated for the following: Conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome). When clinically advisable, appropriate vagal maneuvers (e.g., Valsalva maneuver), should be attempted prior to adenosine injection administration. It is important to be sure the adenosine injection solution actually reaches the systemic circulation (see DOSAGE AND ADMINISTRATION ). Adenosine injection does not convert atrial flutter, atrial fibrillation, or ventricular tachycardia to normal sinus rhythm. In the presence of atrial flutter or at…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0404-9993

What is NDC 0404-9993?
0404-9993 is the product NDC for Adenosine, Adenosine 3 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?
Adenosine (Adenosine injection, solution).
What is the active ingredient?
Adenosine.
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 Adenosine?
28 other product NDCs are listed under this name. See all Adenosine 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 Adenosine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousMeitheal Pharmaceuticals Inc.71288-20771288-0207-21
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousMeitheal Pharmaceuticals Inc.71288-20871288-0208-30
AdenosineAdenosine 3 mg/mLInjectionIntravenousREMEDYREPACK INC.70518-420770518-4207-0070518-4207-02
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-163251662-1632-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-163151662-1631-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousSagent Pharmaceuticals25021-31825021-0318-0225021-0318-04
AdenosineAdenosine 3 mg/mLInjectionIntravenousMedical Purchasing Solutions, LLC71872-733571872-7335-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousProPharma Distribution84549-31884549-0318-02
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousNorthStar Rx LLC16714-55616714-0556-01
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousNorthStar Rx LLC16714-99716714-0997-01

All 29 Adenosine NDCs

Other NDCs under ANDA 077133

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

FDA NDC Directory listings under ANDA 077133
ProductStrengthForm · routeLabelerProduct NDC
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1450
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1632

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