NDC codes

FDA NDC Directory
Product NDC (as listed)50742-539Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50742-0539Add 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
50742-539-105074205391010 VIAL, GLASS in 1 CARTON (50742-539-10) / 5 mL in 1 VIAL, GLASS (50742-539-01)Marketed from Jul 9, 2025

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)
Dehydrated Alcohol
Generic name (nonproprietary)
dehydrated alcohol
Active ingredients
Dehydrated alcohol — 5 mL/5mL
Dosage form
Injection, Solution
Route
Percutaneous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 219569
Marketing start
Listing expires
Identifiers
Product ID 50742-539_149c50c5-59ad-4602-ad9e-58ad960eb91dSPL ID 149c50c5-59ad-4602-ad9e-58ad960eb91dSPL set ID 1d5ec6f9-d58f-4651-a4a1-93fec13fd438RxCUI 2048982UNII 3K9958V90MUPC 0350742539017

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

N450742053910 followed by a unit qualifier and the quantity

Package 50742-0539-10. 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.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 219569

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

FDA NDC Directory listings under ANDA 219569
ProductStrengthForm · routeLabelerProduct NDC
Dehydrated AlcoholalcoholAlcohol 1 mL/mLInjection, SolutionPercutaneousAvenacy, LLC83634-306
Dehydrated AlcoholalcoholAlcohol 1 mL/mLInjectionPercutaneousSolupharm Pharmazeutische Erzeugnisse GmbH55579-306

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