NDC codes

FDA NDC Directory
Product NDC (as listed)17271-721Labeler and product segments. Claims need a package NDC.
Product NDC at billing width17271-0721Add 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
17271-721-05172710721051727107210530 BAG in 1 CASE (17271-721-05) / 250 mL in 1 BAGMarketed from Feb 5, 2020
17271-721-06172710721061727107210620 BAG in 1 CASE (17271-721-06) / 500 mL in 1 BAGMarketed from Feb 5, 2020
17271-721-07172710721071727107210710 BAG in 1 CASE (17271-721-07) / 1000 mL in 1 BAGMarketed from Feb 5, 2020

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)
Dextrose
Generic name (nonproprietary)
dextrose monohydrate
Active ingredients
Dextrose monohydrate — 100 mg/mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Becton Dickinson and CompanyNDC labeler code 17271
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 209448
Marketing start
Listing expires
Identifiers
Product ID 17271-721_16de339e-70a9-4375-8e4b-31b6313b6666SPL ID 16de339e-70a9-4375-8e4b-31b6313b6666SPL set ID 8e7046f8-841e-465a-af69-af9fb3d6799dRxCUI 1795477, 1795480, 1795481UNII 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

N417271072105 followed by a unit qualifier and the quantity

Package 17271-0721-05. 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)

Dextrose Injection is indicated as source of water and calories. Dextrose Injection is indicated as a source of water and calories. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 17271-721

What is NDC 17271-721?
17271-721 is the product NDC for Dextrose (dextrose monohydrate), Dextrose monohydrate 100 mg/mL injection, solution, listed with the FDA by Becton Dickinson and Company. It has 3 package NDCs, 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?
Becton Dickinson and Company, NDC labeler code 17271. 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 ANDA 209448

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

FDA NDC Directory listings under ANDA 209448
ProductStrengthForm · routeLabelerProduct NDC
DextroseDextrose monohydrate 100 mg/mLInjection, SolutionIntravenousHF Acquisition Co. LLC. DBA HealthFirst51662-1680
Dextrosedextrose monohydrateDextrose monohydrate 100 mg/mLInjection, SolutionIntravenousFresenius Kabi USA, LLC63323-824

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