Prescription drug · NDA
Oxygen Helium Mixture 30/70 NDC 17575-038
Oxygen 300 mL/L · Gas · Respiratory (Inhalation) · AGL Inhalation Therapy Co.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 17575-038-01 | 17575003801 | 4690 L in 1 CYLINDER (17575-038-01)Marketed from Jan 1, 1966 | |
| 17575-038-02 | 17575003802 | 515 L in 1 CYLINDER (17575-038-02)Marketed from Jan 1, 1966 | |
| 17575-038-03 | 17575003803 | 4910 L in 1 CYLINDER (17575-038-03)Marketed from Jan 1, 1966 |
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)
- Oxygen Helium Mixture 30/70
- Generic name (nonproprietary)
- oxygen helium mixture 30/70
- Active ingredients
- Oxygen — 300 mL/L
- Dosage form
- Gas
- Route
- Respiratory (Inhalation)
- Labeler
- AGL Inhalation Therapy Co.
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 205767
- Marketing start
- Listing expires
- Identifiers
- Product ID 17575-038_41c36c29-c24c-b53a-e063-6294a90a180aSPL ID 41c36c29-c24c-b53a-e063-6294a90a180aSPL set ID 3c799e75-d974-4f9d-bd47-0ffbd05b8b98UNII 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
N417575003801followed by a unit qualifier and the quantityPackage 17575-0038-01. 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 205767
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 |
|---|---|---|---|---|
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | O.E. Meyer Company | 47632-0029 |
| Oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | S. J. Smith Co., Inc. | 11043-001 |
| Oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | Wesco Gas & Welding Supply, Inc. | 52279-001 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | Bronx Welding Supply Inc | 65119-345 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | Institutional Care Pharmacy | 44363-1815 |
| Oxygen | Oxygen 995 mL/L | GasRespiratory (Inhalation) | CRYOGENIC SOLUTIONS LLC | 81734-001 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | ADF Welding & Medical, Inc. | 64922-233 |
| Oxygen | Oxygen 99 L/100L | GasRespiratory (Inhalation) | ACUTE CARE GAS LLC | 69240-001 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | Wilson Products Compressed Gas Co. | 51105-001 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | MEDICAL-TECHNICAL GASES, INC. | 10736-202 |
| Oxygen | Oxygen 995 mL/L | GasRespiratory (Inhalation) | Southern Gas and Supply of Mississippi, Inc. | 53991-001 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | Minneapolis Oxygen Company | 55147-001 |
| Oxygen | Oxygen 995 mL/L | GasRespiratory (Inhalation) | SOUTHERN GAS AND SUPPLY, INC. dba Gas and Supply | 71654-005 |
| oxygen | Oxygen 992 mL/L | GasRespiratory (Inhalation) | Oz Arc/gas Equipment & Supply, Inc. | 10073-111 |
| Oxygen | Oxygen 995 mL/L | GasRespiratory (Inhalation) | Westair Gases & Equipment, Inc. | 53440-001 |
| Air | Oxygen 995 mL/L | GasRespiratory (Inhalation) | Westair Gases & Equipment, Inc. | 53440-007 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | A&B Welding Supply, LLC | 55728-100 |
| Oxygen | Oxygen 995 mL/L | GasRespiratory (Inhalation) | CEE-KAY SUPPLY, INC. | 10218-001 |
| Air | Oxygen 210 mL/L | GasRespiratory (Inhalation) | Minneapolis Oxygen Company | 55147-004 |
| Oxygen | Oxygen 990 mL/L | GasRespiratory (Inhalation) | Dale Oxygen And Acetylene Service, Inc | 53452-001 |
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