NDC codes

FDA NDC Directory
Product NDC (as listed)0990-7938Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00990-7938Add 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
0990-7938-19009907938190099079381912 POUCH in 1 CASE (0990-7938-19) / 1 BAG in 1 POUCH / 500 mL in 1 BAGMarketed from Nov 20, 2019

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)
Dextrose
Generic name (nonproprietary)
dextrose monohydrate
Active ingredients
Dextrose monohydrate — 10 g/100mL
Dosage form
Injection, Solution, Concentrate
Route
Intravenous
Labeler
ICU Medical, Inc.NDC labeler code 0990
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 018080
Marketing start
Listing expires
Identifiers
Product ID 0990-7938_19e8876b-0d2f-4524-85c9-9c8d682ab2c8SPL ID 19e8876b-0d2f-4524-85c9-9c8d682ab2c8SPL set ID cb578dba-094c-4787-951d-763d12fd06e1RxCUI 1795477UNII LX22YL083G

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

N400990793819 followed by a unit qualifier and the quantity

Package 00990-7938-19. 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)

INDICATIONS AND USAGE 10% Dextrose Injection, USP (concentrated dextrose in water) in a partial-fill container is indicated for admixture with amino acids or dilution with other compatible IV fluids to provide a 5% final dextrose concentration for intravenous infusion in patients whose condition requires parenteral nutrition.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0990-7938

What is NDC 0990-7938?
0990-7938 is the product NDC for Dextrose (dextrose monohydrate), Dextrose monohydrate 10 g/100mL injection, solution, concentrate, listed with the FDA by ICU Medical, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Dextrose (Dextrose monohydrate).
What is the active ingredient?
Dextrose monohydrate.
Who is the labeler?
ICU Medical, Inc., NDC labeler code 0990. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Dextrose?
69 other product NDCs are listed under this name. See all Dextrose 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 Dextrose NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Dextrosedextrose monohydrateDextrose monohydrate 250 mg/mLInjection, SolutionIntravenousREMEDYREPACK INC.70518-445270518-4452-00
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousREMEDYREPACK INC.70518-421970518-4219-00
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-45665219-0456-60
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-45865219-0458-30
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46065219-0460-20
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46265219-0462-10
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousFRESENIUS KABI USA, LLC65219-46465219-0464-50
Dextrosedextrose monohydrateDextrose monohydrate 50 mg/mLInjection, SolutionIntravenousProPharma Distribution84549-46084549-0460-20
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousHenry Schein, Inc.0404-984500404-9845-50
Dextrosedextrose monohydrateDextrose monohydrate 25 g/50mLInjection, SolutionIntravenousHenry Schein, Inc.0404-984700404-9847-50

All 70 Dextrose NDCs

Other NDCs under NDA 018080

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

FDA NDC Directory listings under NDA 018080
ProductStrengthForm · routeLabelerProduct NDC
Dextrosedextrose monohydrateDextrose monohydrate 10 g/100mLInjection, SolutionIntravenousICU Medical, Inc.0990-7930

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