Prescription drug · NDA
IMUFLEX WB-SP Blood Bag System with Integral Whole Blood Leukocyte Reduction Filter (Saving Platelets) with Diversion Blood Sampling Arm Anticoagulant Citrate Phosphate Dextrose (CPD) and OPTISOL (AS-5) Red Cell Preservative for collection of 500mL of Blood NDC 53877-105
anticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative · Kit · Terumo Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 53877-105-06 | 53877010506 | 15 BLISTER PACK in 1 CASE (53877-105-06) / 1 BAG in 1 BLISTER PACK (53877-105-01) / 1 KIT in 1 BAG (53877-105-02) * 70 mL in 1 BAG (53877-111-70) * 111 mL in 1 BAG (53877-121-11)Marketed from Dec 15, 2010 |
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)
- IMUFLEX WB-SP Blood Bag System with Integral Whole Blood Leukocyte Reduction Filter (Saving Platelets) with Diversion Blood Sampling Arm Anticoagulant Citrate Phosphate Dextrose (CPD) and OPTISOL (AS-5) Red Cell Preservative for collection of 500mL of Blood
- Generic name (nonproprietary)
- anticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative
- Dosage form
- Kit
- Labeler
- Terumo Corporation
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication BN 880217
- Marketing start
- Listing expires
- Identifiers
- Product ID 53877-105_d1e10bfe-e386-4d21-9235-15ef3953e08fSPL ID d1e10bfe-e386-4d21-9235-15ef3953e08fSPL set ID ebaeef7d-abb9-4327-bb34-18d146a07376
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
N453877010506followed by a unit qualifier and the quantityPackage 53877-0105-06. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under BN 880217
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 |
|---|---|---|---|---|
| Reveos Select CPD with AS-5 Red Cell Preservative Solution For Collection Of 500ml Of Bloodanticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative | — | Kit | Terumo BCT Vietnam CO., Ltd. | 82906-506 |
| TERUFLEX Blood with Diversion Blood Sampling Arm Anticoagulant CPD with OPTISOL Red Cell Preservative for Collection of 450mL of Blooddextrose monohydrate, trisodium citrate dihydrate, anhydrous citric acid, sodium phosphate, monobasic, unspecified form, sodium chloride, mannitol, and adenine | — | KitIntravenous | Terumo Corporation | 53877-101 |
| IMUFLEX WB-RP Blood Bag System with Integral Whole Blood Leukocyte Reduction Filter (Removing Platelets) with Diversion Blood Sampling Arm Anticoagulant Citrate Phosphate Dextrose (CPD) AND OPTISOL (AS-5) Red Cell Preservativeanticoagulant citrate phosphate dextrose (cpd) and as-5 red cell preservative | — | KitIntravenous | Terumo Corporation | 53877-006 |
| TERUFLEX Blood Bag System with Diversion Blood Sampling Arm Anticoagulant CPD with OPTISOL Red Cell Preservative Solution for Collection of 500mL of Blooddextrose monohydrate, trisodium citrate dihydrate, anhydrous citric acid, sodium phosphate, monobasic, unspecified form, anhydrous dextrose, sodium chloride, mannitol, and adenine | — | Kit | Terumo Corporation | 53877-103 |