Prescription drug · NDA AUTHORIZED GENERIC
Helium, Oxygen NDC 11054-042
Helium 600 mL/L; Oxygen 400 mL/L · Gas · Respiratory (Inhalation) · AIRGAS USA, LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11054-042-01 | 11054004201 | 300 L in 1 CYLINDER (11054-042-01)Marketed from Oct 14, 1997 | |
| 11054-042-02 | 11054004202 | 500 L in 1 CYLINDER (11054-042-02)Marketed from Oct 14, 1997 | |
| 11054-042-03 | 11054004203 | 2260 L in 1 CYLINDER (11054-042-03)Marketed from Oct 14, 1997 | |
| 11054-042-04 | 11054004204 | 4000 L in 1 CYLINDER (11054-042-04)Marketed from Oct 14, 1997 | |
| 11054-042-05 | 11054004205 | 4500 L in 1 CYLINDER (11054-042-05)Marketed from Oct 14, 1997 | |
| 11054-042-06 | 11054004206 | 3539 L in 1 CYLINDER (11054-042-06)Marketed from Oct 14, 1997 | |
| 11054-042-07 | 11054004207 | 5663 L in 1 CYLINDER (11054-042-07)Marketed from Oct 14, 1997 |
How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
- Helium, Oxygen
- Generic name (nonproprietary)
- helium, oxygen
- Active ingredients
- Helium — 600 mL/LOxygen — 400 mL/L
- Dosage form
- Gas
- Route
- Respiratory (Inhalation)
- Labeler
- AIRGAS USA, LLC
- Product type
- Prescription drug
- Marketing category
- NDA authorized genericApplication NDA 205843
- Marketing start
- Listing expires
- Identifiers
- Product ID 11054-042_1e2d5059-5d8c-41d3-a45e-49b945b7ae8aSPL ID 1e2d5059-5d8c-41d3-a45e-49b945b7ae8aSPL set ID 8485f6f4-f322-4b82-abff-47e64c713f1bRxCUI 347697UNII 206GF3GB41, S88TT14065
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
N411054004201followed by a unit qualifier and the quantityPackage 11054-0042-01. 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 .
Other NDCs under NDA 205843
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Helium | Helium 992 mL/L | GasIntracoronary, Respiratory (Inhalation) | AIRGAS USA, LLC | 11054-004 |
| Helium | Helium 992 mL/L | GasRespiratory (Inhalation) | WSM SUPPLIER LLC. | 84120-001 |
| Helium Oxygen mixture | Helium 700 mL/L; Oxygen 300 mL/L | GasRespiratory (Inhalation) | Airgas Usa, LLC | 11054-032 |
| Helium, Oxygen | Helium 800 mL/L; Oxygen 200 mL/L | GasRespiratory (Inhalation) | AIRGAS USA, LLC | 11054-041 |
| Helium | Helium 99 L/100L | GasRespiratory (Inhalation) | Air Source Industries Inc | 10167-300 |