NDC codes

FDA NDC Directory
Product NDC (as listed)0409-0042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-0042Add 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
0409-0042-120040900421212 POUCH in 1 CASE (0409-0042-12) / 1 BAG in 1 POUCH / 250 mL in 1 BAG (0409-0042-01)Marketed from Nov 3, 2025

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)
Dopamine Hydrochloride in Dextrose
Generic name (nonproprietary)
dopamine hydrochloride in dextrose
Active ingredients
Dopamine hydrochloride1.6 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018826
Marketing start
Listing expires
Other FDA classes
Catecholamines (Chemical structure)
Identifiers
Product ID 0409-0042_188ce800-ff3a-4b22-9a95-2273c3bc99aeSPL ID 188ce800-ff3a-4b22-9a95-2273c3bc99aeSPL set ID 08f23f6e-150d-45ea-098e-f2edf64c21a1RxCUI 1292887, 1743877, 1743879UNII 7L3E358N9L
Pharmacologic class
Catecholamine

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

N400409004212 followed by a unit qualifier and the quantity

Package 00409-0042-12. 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)

Dopamine Hydrochloride in Dextrose Injection is indicated to improve hemodynamic status in patients in distributive shock, or shock due to reduced cardiac output. Dopamine HCl in Dextrose Injection is a catecholamine indicated to improve hemodynamic status in patients in shock. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 018826

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

FDA NDC Directory listings under NDA 018826
ProductStrengthForm · routeLabelerProduct NDC
Dopamine Hydrochloride in DextroseDopamine hydrochloride 1.6 mg/mLInjection, SolutionIntravenousHospira, Inc.0409-7809
Dopamine Hydrochloride in DextroseDopamine hydrochloride 3.2 mg/mLInjection, SolutionIntravenousHospira, Inc.0409-1858
Dopamine HydrochlorideDopamine hydrochloride 1.6 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1316
dopamine hydrochloride in dextroseDopamine hydrochloride 1.6 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1681

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