NDC codes

FDA NDC Directory
Product NDC (as listed)55037-632Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55037-0632Add 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
55037-632-01550370632015900 L in 1 CYLINDER (55037-632-01)Marketed from Jan 1, 1987
55037-632-0255037063202640 L in 1 CYLINDER (55037-632-02)Marketed from Jan 1, 1987
55037-632-0355037063203620 L in 1 CYLINDER (55037-632-03)Marketed from Jan 1, 1987

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)
Oxygen/Helium 40/60
Generic name (nonproprietary)
oxygen/helium 40/60
Active ingredients
Oxygen400 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205889
Marketing start
Listing expires
Identifiers
Product ID 55037-632_44ffb601-9369-7066-e063-6394a90a9c7dSPL ID 44ffb601-9369-7066-e063-6394a90a9c7dSPL set ID 10bcc7cd-ce72-5e9d-e063-6394a90a17e2RxCUI 347697UNII S88TT14065

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

N455037063201 followed by a unit qualifier and the quantity

Package 55037-0632-01. 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 .

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 205889

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

FDA NDC Directory listings under NDA 205889
ProductStrengthForm · routeLabelerProduct NDC
OxygenOxygen 99 L/100LGasRespiratory (Inhalation)Corrigan Propane LLC dba Blue Water Industrial Products44517-001
Carbon Dioxide/Oxygen 5/95Oxygen 950 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-702
Oxygen/Helium 30/70Oxygen 300 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-622
Oxygen/Helium 50/50Oxygen 500 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-642
Carbon Dioxide OxygenOxygen 800 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-712
Oxygen/Nitrogen 10/90Oxygen 100 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-800
Oxygen/Nitrogen 12/88Oxygen 120 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-810
OxygenOxygen 990 mL/LGasRespiratory (Inhalation)TIMS SOUTH TEXAS LLC71227-001
Oxygen/Nitrogen 26/74Oxygen 260 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-850
Oxygen/Nitrogen 15/85Oxygen 150 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-820
Oxygen/Nitrogen 21/79Oxygen 210 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-830
Oxygen/Nitrogen 25/75Oxygen 250 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-840
Oxygen/Nitrogen 5/95Oxygen 50 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-890
Oxygen/Nitrogen 30/70Oxygen 300 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-860
Oxygen/Nitrogen 38/62Oxygen 380 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-870
Oxygen/Nitrogen 40/60Oxygen 400 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-880
OxygenOxygen 995 mL/LGasRespiratory (Inhalation)Island Supply Welding Co Inc21624-001
Oxygen/Nitrogen 75/25Oxygen 750 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-920
Oxygen/Nitrogen 50/50Oxygen 500 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-900
Oxygen/Nitrogen 52/48Oxygen 520 mL/LGasRespiratory (Inhalation)MATHESON TRI-GAS, INC.55037-910

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