Prescription drug · ANDA
Dehydrated Alcohol (alcohol) NDC 50090-7643
Alcohol 1 mL/mL · Injection, Solution · Percutaneous · A-S Medication Solutions
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50090-7643-0 | 50090764300 | 1 AMPULE in 1 CARTON (50090-7643-0) / 5 mL in 1 AMPULEMarketed from Aug 27, 2025 | |
| 50090-7643-1 | 50090764301 | 2 AMPULE in 1 CARTON (50090-7643-1) / 5 mL in 1 AMPULEMarketed from Aug 27, 2025 |
How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
- Dehydrated Alcohol
- Generic name (nonproprietary)
- alcohol
- Active ingredients
- Alcohol — 1 mL/mL
- Dosage form
- Injection, Solution
- Route
- Percutaneous
- Labeler
- A-S Medication Solutions
- Product type
- Prescription drug
- Marketing category
- ANDA — Abbreviated New Drug Application (generic)Application ANDA 219400
- Marketing start
- Listing expires
- Identifiers
- Product ID 50090-7643_3d1f5a98-a243-4cb4-b59d-6059ba0af173SPL ID 3d1f5a98-a243-4cb4-b59d-6059ba0af173SPL set ID ab8654b8-a4d5-4869-88c2-6a6cc5c77fffRxCUI 2048982UNII 3K9958V90M
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
N450090764300followed by a unit qualifier and the quantityPackage 50090-7643-00. 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)
Dehydrated alcohol injection is indicated to induce controlled cardiac septal infarction to improve exercise capacity in adults with symptomatic hypertrophic obstructive cardiomyopathy who are not candidates for surgical myectomy. Dehydrated alcohol injection is an ablative agent indicated to induce controlled cardiac septal infarction to improve exercise capacity in adults with symptomatic hypertrophic obstructive cardiomyopathy who are not candidates for surgical myectomy. (1)
Excerpt only. Read the full label for complete information.
Other NDCs under ANDA 219400
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 |
|---|---|---|---|---|
| Dehydrated Alcoholalcohol | Alcohol 1 mL/mL | Injection, SolutionPercutaneous | XGen Pharmaceuticals DJB, Inc. | 39822-9300 |