NDC codes

FDA NDC Directory
Product NDC (as listed)0574-0521Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00574-0521Add 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
0574-0521-250057405212572 mL in 1 TUBE (0574-0521-25)Marketed from Jan 31, 2023
0574-0521-7400574052174120 mL in 1 TUBE (0574-0521-74)Marketed from Nov 10, 2020
0574-0521-7600574052176240 mL in 1 TUBE (0574-0521-76)Marketed from Dec 13, 2020

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)
Actidose Aqua
Generic name (nonproprietary)
activated charcoal
Active ingredients
Activated charcoal — 208 mg/mL
Dosage form
Suspension
Route
Oral
Labeler
Padagis US LLCNDC labeler code 0574
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 023
Marketing start
Listing expires
Identifiers
Product ID 0574-0521_bd250d66-b8ea-4cab-a8f2-d2913a157fc5SPL ID bd250d66-b8ea-4cab-a8f2-d2913a157fc5SPL set ID c85dc235-3f42-4361-9bd2-1aaff798ad75RxCUI 309150, 1251411UNII 2P3VWU3H10

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400574052125 followed by a unit qualifier and the quantity

Package 00574-0521-25. 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)

Uses • For emergency use to adsorb swallowed poisons.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0574-0521

What is NDC 0574-0521?
0574-0521 is the product NDC for Actidose Aqua (activated charcoal), Activated charcoal 208 mg/mL suspension, listed with the FDA by Padagis US LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Actidose Aqua (Activated charcoal).
What is the active ingredient?
Activated charcoal.
Who is the labeler?
Padagis US LLC, NDC labeler code 0574. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Actidose Aqua?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 023

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

FDA NDC Directory listings under M 023
ProductStrengthForm · routeLabelerProduct NDC
Actidoseactivated charcoalActivated charcoal 208 mg/mLSuspensionOralPadagis US LLC0574-0520
Anti-Empachosodium bicarbonateSodium bicarbonate 525 mg/15mLLiquidOralMenper Distributors, Inc.53145-300
Insta-Char Aqueouspoison treatment adsorbentActivated charcoal 25 g/240mLSuspensionOralVistaPharm, LLC66689-113
Insta-Char Aqueouspoison treatment adsorbentActivated charcoal 25 g/240mLSuspensionOralVistaPharm, LLC66689-114
Insta-Char Sorbitolpoison adsorbentActivated charcoal 25 g/240mLSuspensionOralVistaPharm, LLC66689-115

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