NDC codes

FDA NDC Directory
Product NDC (as listed)0409-9157Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00409-9157Add 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
0409-9157-0100409915701004099157015 TRAY in 1 CONTAINER (0409-9157-01) / 5 AMPULE in 1 TRAY (0409-9157-50) / .5 mL in 1 AMPULE (0409-9157-31)Marketed from Jun 22, 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)
Vitamin K1
Generic name (nonproprietary)
phytonadione
Active ingredients
Phytonadione — 2 mg/mL
Dosage form
Injection, Emulsion
Route
Intramuscular, Intravenous, Subcutaneous
Labeler
Hospira, Inc.NDC labeler code 0409
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 087954
Marketing start
Listing expires
Other FDA classes
Increased Prothrombin Activity (Physiologic effect)Reversed Anticoagulation Activity (Physiologic effect)Vitamin K (Chemical structure)
Identifiers
Product ID 0409-9157_689ec2ad-01a2-43bb-82f4-ac5cf0d91313SPL ID 689ec2ad-01a2-43bb-82f4-ac5cf0d91313SPL set ID e8808230-2c44-44c6-8cab-8f29b6b34051RxCUI 312424, 1670192UNII A034SE7857
Pharmacologic class
Vitamin K; Warfarin Reversal Agent

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

N400409915701 followed by a unit qualifier and the quantity

Package 00409-9157-01. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Vitamin K 1 Injection is a vitamin K replacement indicated for the treatment of the following coagulation disorders which are due to faulty formation of factors II, VII, IX and X when caused by vitamin K deficiency or interference with vitamin K activity. • Anticoagulant-induced hypoprothrombinemia deficiency caused by coumarin or indanedione derivatives. ( 1.1 ) • Hypoprothrombinemia due to antibacterial therapy. ( 1.1 ) • Hypoprothrombinemia secondary to factors limiting absorption or synthesis of vitamin K, e.g., obstructive jaundice, biliary fistula, sprue, ulcerative colitis, celiac disease, intestinal resection, cystic fibrosis of the pancreas, and regional enteritis. ( 1.1 ) • Other d…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0409-9157

What is NDC 0409-9157?
0409-9157 is the product NDC for Vitamin K1 (phytonadione), Phytonadione 2 mg/mL injection, emulsion, listed with the FDA by Hospira, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Vitamin K1 (Phytonadione).
What is the active ingredient?
Phytonadione.
Who is the labeler?
Hospira, Inc., NDC labeler code 0409. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vitamin K1?
1 other product NDC are listed under this name. See all Vitamin K1 NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Vitamin K1 NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Vitamin K1phytonadionePhytonadione 10 mg/mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousHospira, Inc.0409-915800409-9158-0100409-9158-25

Other NDCs under ANDA 087954

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

FDA NDC Directory listings under ANDA 087954
ProductStrengthForm · routeLabelerProduct NDC
Vitamin K1 Phytonadionevitamin k1, phytonadionePhytonadione 2 mg/mLInjection, EmulsionIntramuscular, Intravenous, SubcutaneousHF Acquisition Co LLC, DBA HealthFirst51662-1537

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