Magnesium Sulfate NDC 0409-2168

NDC codes

FDA NDC Directory

Product NDC (as listed)0409-2168Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00409-2168Add 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 NDC	11-digit (billing)	Package	Copy
0409-2168-77	00409216877	25 VIAL, PLASTIC in 1 TRAY (0409-2168-77) / 20 mL in 1 VIAL, PLASTIC (0409-2168-17)Marketed from Mar 15, 2021

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): Magnesium Sulfate
Generic name (nonproprietary): magnesium sulfate
Active ingredients: Magnesium sulfate heptahydrate — 500 mg/mL
Dosage form: Injection, Solution
Route: Intramuscular, Intravenous
Labeler: Hospira, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 202411
Marketing start: Mar 31, 2005
Listing expires: Dec 31, 2027
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Small Intestine Fluid/Electrolyte Absorption (Physiologic effect)Magnesium Ion Exchange Activity (Mechanism)Osmotic Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
Identifiers: Product ID 0409-2168_2ec543b5-50b8-4aa9-bccf-1c0dcc06e672SPL ID 2ec543b5-50b8-4aa9-bccf-1c0dcc06e672SPL set ID e175d329-315f-4f3b-bb4c-06ad4e042967RxCUI 1658236UNII SK47B8698T
Pharmacologic class: Calculi Dissolution Agent; Osmotic Laxative

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

N400409216877 followed by a unit qualifier and the quantity

Package 00409-2168-77. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.