NDC codes

FDA NDC Directory
Product NDC (as listed)14789-121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width14789-0121Add 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
14789-121-051478901210510 VIAL, SINGLE-USE in 1 CARTON (14789-121-05) / 2 mL in 1 VIAL, SINGLE-USE (14789-121-07)Marketed from Jun 28, 2021

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)
Papaverine Hydrochloride
Generic name (nonproprietary)
papaverine hydrochloride
Active ingredients
Papaverine hydrochloride — 30 mg/mL
Dosage form
Injection
Route
Intramuscular, Intravenous
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 14789-121_28dc648b-5306-8daf-e063-6294a90a9b44SPL ID 28dc648b-5306-8daf-e063-6294a90a9b44SPL set ID 1e76839f-82eb-42a8-abc2-e7fbc533082dRxCUI 1789947UNII 23473EC6BQ

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

N414789012105 followed by a unit qualifier and the quantity

Package 14789-0121-05. 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 Papaverine is recommended in various conditions accompanied by spasm of smooth muscle, such as vascular spasm associated with acute myocardial infarction (coronary occlusion), angina pectoris, peripheral and pulmonary embolism, peripheral vascular disease in which there is a vasospastic element, or certain cerebral angiospastic states; and visceral spasm, as in ureteral, biliary, or gastrointestinal colic.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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