DOPamine Hydrochloride NDC 0409-9104

NDC codes

FDA NDC Directory

Product NDC (as listed)0409-9104Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00409-9104Add 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
0409-9104-20	00409910420	25 VIAL, SINGLE-DOSE in 1 TRAY (0409-9104-20) / 10 mL in 1 VIAL, SINGLE-DOSE (0409-9104-21)Marketed from Jun 30, 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): DOPamine Hydrochloride
Generic name (nonproprietary): dopamine hydrochloride
Active ingredients: Dopamine hydrochloride — 40 mg/mL
Dosage form: Injection, Solution, Concentrate
Route: Intravenous
Labeler: Hospira, Inc.
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 018132
Marketing start: Jun 30, 2005
Listing expires: Dec 31, 2027
Other FDA classes: Catecholamines (Chemical structure)
Identifiers: Product ID 0409-9104_7a125e39-1ecb-4c76-931a-efc9b5921d1cSPL ID 7a125e39-1ecb-4c76-931a-efc9b5921d1cSPL set ID 1f306ad2-3606-4525-5a8a-ce78f426c1a2RxCUI 1743938, 1743941UNII 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

N400409910420 followed by a unit qualifier and the quantity

Package 00409-9104-20. 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.

Other NDCs under NDA 018132

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

FDA NDC Directory listings under NDA 018132
Product	Strength	Form · route	Labeler	Product NDC
DOPamine Hydrochloride	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	Medical Purchasing Solutions, LLC	71872-7066
DOPamine Hydrochloride	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	Hospira, Inc.	0409-5820
Dopamine Hydrochloride	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	Henry Schein, Inc.	0404-9981
Dopamine Hci	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	HF Acquisition Co. LLC, DBA Health First	51662-1220
Dopamine Hydrochloride	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	Henry Schein, Inc.	0404-9982
Dopamine Hci	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	HF Acquisition Co LLC, DBA HealthFirst	51662-1291
DOPamine Hydrochloride	Dopamine hydrochloride 40 mg/mL	Injection, Solution, ConcentrateIntravenous	ProPharma Distribution	84549-820