NDC codes

FDA NDC Directory
Product NDC (as listed)25021-301Labeler and product segments. Claims need a package NDC.
Product NDC at billing width25021-0301Add 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
25021-301-67250210301672502103016710 SYRINGE in 1 CARTON (25021-301-67) / 2 mL in 1 SYRINGEMarketed from Apr 16, 2014
25021-301-68250210301682502103016810 SYRINGE in 1 CARTON (25021-301-68) / 4 mL in 1 SYRINGEMarketed from Apr 16, 2014

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)
adenosine
Generic name (nonproprietary)
adenosine
Active ingredients
Adenosine — 3 mg/mL
Dosage form
Injection
Route
Intravenous
Labeler
Sagent PharmaceuticalsNDC labeler code 25021
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 077283
Marketing start
Listing expires
Other FDA classes
Adenosine Receptor Agonists (Mechanism)
Identifiers
Product ID 25021-301_a40e7fe9-478d-4916-9657-5eba074215f0SPL ID a40e7fe9-478d-4916-9657-5eba074215f0SPL set ID 5a55b45d-9cee-4c0c-9e44-021dbf70a018RxCUI 727355, 727360UNII K72T3FS567UPC 0325021301685, 0325021301678
Pharmacologic class
Adenosine Receptor Agonist

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

N425021030167 followed by a unit qualifier and the quantity

Package 25021-0301-67. 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 Adenosine Injection, USP is indicated for the following: Conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome). When clinically advisable, appropriate vagal maneuvers (e.g., Valsalva maneuver), should be attempted prior to adenosine administration. It is important to be sure the adenosine solution actually reaches the systemic circulation (see DOSAGE AND ADMINISTRATION ). Adenosine does not convert atrial flutter, atrial fibrillation, or ventricular tachycardia to normal sinus rhythm. In the presence of atrial flutter or atrial fibrillation, a transient modest…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 25021-301

What is NDC 25021-301?
25021-301 is the product NDC for adenosine, Adenosine 3 mg/mL injection, listed with the FDA by Sagent Pharmaceuticals. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
adenosine.
What is the active ingredient?
Adenosine.
Who is the labeler?
Sagent Pharmaceuticals, NDC labeler code 25021. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for adenosine?
28 other product NDCs are listed under this name. See all adenosine 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 adenosine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousMeitheal Pharmaceuticals Inc.71288-20771288-0207-21
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousMeitheal Pharmaceuticals Inc.71288-20871288-0208-30
AdenosineAdenosine 3 mg/mLInjectionIntravenousREMEDYREPACK INC.70518-420770518-4207-0070518-4207-02
Adenosineadenosine injection, solutionAdenosine 3 mg/mLInjection, SolutionIntravenousHenry Schein, Inc.0404-999300404-9993-02
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-163251662-1632-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-163151662-1631-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousSagent Pharmaceuticals25021-31825021-0318-0225021-0318-04
AdenosineAdenosine 3 mg/mLInjectionIntravenousMedical Purchasing Solutions, LLC71872-733571872-7335-01
AdenosineAdenosine 3 mg/mLInjectionIntravenousProPharma Distribution84549-31884549-0318-02
AdenosineAdenosine 3 mg/mLInjection, SolutionIntravenousNorthStar Rx LLC16714-55616714-0556-01

All 29 adenosine NDCs

Other NDCs under ANDA 077283

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

FDA NDC Directory listings under ANDA 077283
ProductStrengthForm · routeLabelerProduct NDC
AdenosineAdenosine 3 mg/mLInjectionIntravenousHF Acquisition Co LLC, DBA HealthFirst51662-1511
AdenosineAdenosine 3 mg/mLInjectionIntravenousGland Pharma Limited68083-101
adenosineAdenosine 3 mg/mLInjectionIntravenousProPharma Distribution84549-031

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