Prescription drug · UNAPPROVED DRUG FOR USE IN DRUG SHORTAGE
Extraneal NDC 0941-0681
Icodextrin 7.5 g/100mL + 4 more ingredients · Injection, Solution · Intraperitoneal · Vantive US Healthcare LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0941-0681-08 | 00941068108 | 4 BAG in 1 CARTON (0941-0681-08) / 2500 mL in 1 BAG (0941-0681-02)Marketed from Oct 21, 2024 |
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)
- Extraneal
- Generic name (nonproprietary)
- icodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chloride
- Active ingredients
- Icodextrin — 7.5 g/100mLSodium chloride — 540 mg/100mLSodium lactate — 450 mg/100mLCalcium chloride — 25.7 mg/100mLMagnesium chloride — 5.1 mg/100mL
- Dosage form
- Injection, Solution
- Route
- Intraperitoneal
- Labeler
- Vantive US Healthcare LLC
- Product type
- Prescription drug
- Marketing category
- Unapproved drug for use in drug shortage
- Marketing start
- Marketing end
- Other FDA classes
- Calcium (Chemical structure)Divalent (Chemical structure)Increased Coagulation Factor Activity (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (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)Osmotic Activity (Mechanism)Osmotic Activity (Mechanism)Phosphate Chelating Activity (Mechanism)Stimulation Large Intestine Fluid/Electrolyte Secretion (Physiologic effect)
- Identifiers
- Product ID 0941-0681_348e2829-a0c9-3ee6-e063-6294a90a585dSPL ID 348e2829-a0c9-3ee6-e063-6294a90a585dSPL set ID 2b327b13-a0e9-4b2c-9875-4470998e2e30RxCUI 1100742, 1100746UNII 2NX48Z0A9G, 451W47IQ8X, TU7HW0W0QT, M4I0D6VV5M, 02F3473H9O
- Pharmacologic class
- Blood Coagulation Factor; Calculi Dissolution Agent; Osmotic Laxative; Phosphate Binder
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.
- NDC on a medical claim
N400941068108followed by a unit qualifier and the quantityPackage 00941-0681-08. 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 .