NDC codes

FDA NDC Directory
Product NDC (as listed)0942-9603Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00942-9603Add 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
0942-9603-120094296031200942960312500 mL in 1 BAG (0942-9603-12)Marketed from Oct 25, 2012

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)
Solucion InterSol
Generic name (nonproprietary)
solucion aditiva para plaquetas 3
Active ingredients
Sodium chloride — 452 mg/100mLSodium acetate — 442 mg/100mLTrisodium citrate dihydrate — 318 mg/100mLSodium phosphate, Dibasic, Unspecified form — 305 mg/100mLSodium phosphate, Monobasic, Monohydrate — 93 mg/100mL
Dosage form
Solution
Route
Intravenous
Labeler
Fenwal, Inc.NDC labeler code 0942
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication BN 080041
Marketing start
Listing expires
Other FDA classes
Acidifying Activity (Mechanism)Calcium Chelating Activity (Mechanism)Decreased Coagulation Factor Activity (Physiologic effect)
Identifiers
Product ID 0942-9603_71e5dcd0-4aa3-4cb6-89b3-8229f73c75fcSPL ID 71e5dcd0-4aa3-4cb6-89b3-8229f73c75fcSPL set ID d5eaf5f4-67d3-4475-af9a-f5b0f882f5d1UNII 451W47IQ8X, 4550K0SC9B, B22547B95K, GR686LBA74, 593YOG76RN
Pharmacologic class
Anti-coagulant; Calculi Dissolution 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

N400942960312 followed by a unit qualifier and the quantity

Package 00942-9603-12. 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)

Rx only For use with the AMICUS Separator only . Store at Controlled Room Temperature. Protect from freezing. Avoid excessive heat. Definition of "Controlled Room Temperature": "A temperature maintained thermostatically that encompasses the usual and customary working environment of 20° to 25°C (68° to 77°F); that results in a mean kinetic temperature calculated to be not more than 25°C; and that allows for excursions between 15°C and 30°C (59° and 86°F) that are experienced in pharmacies, hospitals, and warehouses. Provided the mean kinetic temperature remains in the allowed range, transient spikes up to 40°C are permitted as long as they do not exceed 24 hours ... The mean kinetic temperat…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0942-9603

What is NDC 0942-9603?
0942-9603 is the product NDC for Solucion InterSol (solucion aditiva para plaquetas 3), Sodium chloride 452 mg/100mL + 4 more ingredients solution, listed with the FDA by Fenwal, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Solucion InterSol (Solucion aditiva para plaquetas 3).
What is the active ingredient?
Sodium chloride, Sodium acetate, Trisodium citrate dihydrate, Sodium phosphate, Dibasic, Unspecified form, Sodium phosphate, Monobasic, Monohydrate.
Who is the labeler?
Fenwal, Inc., NDC labeler code 0942. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Solucion InterSol?
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 BN 080041

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

FDA NDC Directory listings under BN 080041
ProductStrengthForm · routeLabelerProduct NDC
InterSolplatelet additive 3Sodium chloride 452 mg/100mL + 4 more ingredientsSolutionIntravenousFenwal, Inc.0942-9601
InterSolplatelet additive 3Sodium chloride 452 mg/100mL + 4 more ingredientsSolutionIntravenousFenwal, Inc.0942-9602
InterSolplatelet additive 3Sodium chloride 452 mg/100mL + 4 more ingredientsSolutionIntravenousFenwal, Inc.0942-9605

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