NDC codes

FDA NDC Directory
Product NDC (as listed)0409-5921Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-5921Add 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
0409-5921-010040959210125 VIAL, SINGLE-DOSE in 1 TRAY (0409-5921-01) / 10 mL in 1 VIAL, SINGLE-DOSE (0409-5921-16)Marketed from May 10, 2005

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)
Aminophylline
Generic name (nonproprietary)
aminophylline
Active ingredients
Aminophylline dihydrate — 25 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 087242
Marketing start
Listing expires
Other FDA classes
Xanthines (Chemical structure)
Identifiers
Product ID 0409-5921_a36bc745-4366-4883-8e7d-4df241a069c4SPL ID a36bc745-4366-4883-8e7d-4df241a069c4SPL set ID 9a663ef3-881f-48bd-2689-3713b24545c2RxCUI 1724666, 1724668UNII C229N9DX94
Pharmacologic class
Methylxanthine

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

N400409592101 followed by a unit qualifier and the quantity

Package 00409-5921-01. 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 theophylline is indicated as an adjunct to inhaled beta-2 selective agonists and systemically administered corticosteroids for the treatment of acute exacerbations of the symptoms and reversible airflow obstruction associated with asthma and other chronic lung diseases, e.g., emphysema and chronic bronchitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 087242

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

FDA NDC Directory listings under ANDA 087242
ProductStrengthForm · routeLabelerProduct NDC
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousMedical Purchasing Solutions, LLC71872-7060
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousMedical Purchasing Solutions, LLC71872-7374
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousHospira, Inc.0409-5922
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1204
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1341
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousHenry Schein, Inc.0404-9813
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousHenry Schein, Inc.0404-9814
AminophyllineAminophylline dihydrate 25 mg/mLInjection, SolutionIntravenousProPharma Distribution84549-922

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Aminophylline NDC 0409-5921 | Med-Code