Magnesium Sulfate in Water NDC 0409-3164

NDC codes

FDA NDC Directory

Product NDC (as listed)0409-3164Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00409-3164Add 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
0409-3164-12	00409316412	12 POUCH in 1 CASE (0409-3164-12) / 1 BAG in 1 POUCH / 1000 mL in 1 BAG (0409-3164-01)Marketed from Jun 19, 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): Magnesium Sulfate in Water
Generic name (nonproprietary): magnesium sulfate in water
Active ingredients: Magnesium sulfate heptahydrate — 40 g/1000mL
Dosage form: Injection, Solution
Route: Intravenous
Labeler: Hospira, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 020309
Marketing start: Jun 19, 2023
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 0409-3164_07c1eb55-2db9-4ae5-b307-63606db67705SPL ID 07c1eb55-2db9-4ae5-b307-63606db67705SPL set ID 22ca78b4-f5a3-4144-cf89-5f633acf1e6dRxCUI 1658259, 1658262, 1658264, 1658265UNII 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

N400409316412 followed by a unit qualifier and the quantity

Package 00409-3164-12. 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 Aug 24, 2026.

Indications (excerpt from the label)

INDICATIONS AND USAGE Magnesium Sulfate in Water for Injection is indicated for the prevention and control of seizures in pre-eclampsia and eclampsia, respectively. When used judiciously it effectively prevents and controls the convulsions of eclampsia without producing deleterious depression of the central nervous system of the mother or infant. However, other effective drugs are available for this purpose.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020309

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

FDA NDC Directory listings under NDA 020309
Product	Strength	Form · route	Labeler	Product NDC
Magnesium Sulfate in Water	Magnesium sulfate heptahydrate 40 mg/mL	Injection, SolutionIntravenous	Hospira, Inc.	0409-6729
Magnesium Sulfate in Water	Magnesium sulfate heptahydrate 4 g/100mL	Injection, SolutionIntravenous	Hospira, Inc.	0409-4121
Magnesium Sulfate	Magnesium sulfate heptahydrate 40 mg/mL	Injection, SolutionIntravenous	HF Acquisition Co LLC, DBA HealthFirst	51662-1352
Magnesium Sulfate in Water	Magnesium sulfate heptahydrate 2 g/50mL	Injection, SolutionIntravenous	Hospira, Inc.	0409-5239
Magnesium Sulfate in Water	Magnesium sulfate heptahydrate 20 g/500mL	Injection, SolutionIntravenous	Hospira, Inc.	0409-2050