NDC codes

FDA NDC Directory
Product NDC (as listed)23155-870Labeler and product segments. Claims need a package NDC.
Product NDC at billing width23155-0870Add 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
23155-870-41231550870412315508704110 VIAL, SINGLE-DOSE in 1 CARTON (23155-870-41) / 6 mL in 1 VIAL, SINGLE-DOSE (23155-870-31)Marketed from Jun 23, 2023

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)
Arsenic Trioxide
Generic name (nonproprietary)
arsenic trioxide
Active ingredients
Arsenic trioxide — 2 mg/mL
Dosage form
Injection
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 215059
Marketing start
Listing expires
Identifiers
Product ID 23155-870_1f7f1fe4-25b8-4259-8123-17c815934b05SPL ID 1f7f1fe4-25b8-4259-8123-17c815934b05SPL set ID 8dddfe9e-06bf-4983-9c55-71b19da8fcdcRxCUI 829926, 1992545UNII S7V92P67HO

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

N423155087041 followed by a unit qualifier and the quantity

Package 23155-0870-41. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

Arsenic trioxide injection is an arsenical indicated: For induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression. ( 1.2 ) 1.2 Relapsed or Refractory APL Arsenic trioxide injection is indicated for induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 23155-870

What is NDC 23155-870?
23155-870 is the product NDC for Arsenic Trioxide, Arsenic trioxide 2 mg/mL injection, listed with the FDA by Heritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Arsenic Trioxide.
What is the active ingredient?
Arsenic trioxide.
Who is the labeler?
Heritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc, NDC labeler code 23155. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Arsenic Trioxide?
26 other product NDCs are listed under this name. See all Arsenic Trioxide 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 Arsenic Trioxide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-00983090-0009-0183090-0009-10
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-01083090-0010-0183090-0010-10
Arsenic TrioxideArsenic trioxide 1 mg/mLInjectionIntravenousHeritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc23155-86923155-0869-41
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-00581607-0005-11
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-00681607-0006-07
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNovadoz Pharmaceuticals LLC72205-17172205-0171-07
Arsenic TrioxideArsenic trioxide 2 mg/2mLInjection, SolutionIntravenousNovadoz Pharmaceuticals LLC72205-17272205-0172-07
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNorthstar Rx LLC72603-33972603-0339-10
Arsenic trioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousZydus Pharmaceuticals USA Inc.70710-189570710-1895-06
Arsenic trioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousZydus Pharmaceuticals USA Inc.70710-189670710-1896-06

All 27 Arsenic Trioxide NDCs

Other NDCs under ANDA 215059

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

FDA NDC Directory listings under ANDA 215059
ProductStrengthForm · routeLabelerProduct NDC
Arsenic TrioxideArsenic trioxide 1 mg/mLInjectionIntravenousHeritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc23155-869
Arsenic TrioxideArsenic trioxide 1 mg/mLInjectionIntravenousSagent Pharmaceuticals25021-226
Arsenic TrioxideArsenic trioxide 2 mg/mLInjectionIntravenousSagent Pharmaceuticals25021-227
Arsenic TrioxideArsenic trioxide 2 mg/mLInjectionIntravenousGland Pharma Limited68083-462
Arsenic TrioxideArsenic trioxide 1 mg/mLInjectionIntravenousGland Pharma Limited68083-535

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