NDC codes

FDA NDC Directory
Product NDC (as listed)55714-9002Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55714-9002Add 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
55714-9002-15571490020130 mL in 1 BOTTLE, GLASS (55714-9002-1)Marketed from Jan 1, 2020

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)
Dopamine
Generic name (nonproprietary)
dopamine
Active ingredients
Dopamine — 30 [hp_C]/mL
Dosage form
Liquid
Route
Oral
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Catecholamines (Chemical structure)
Identifiers
Product ID 55714-9002_2dd20800-2cfb-02d4-e063-6294a90a0f00SPL ID 2dd20800-2cfb-02d4-e063-6294a90a0f00SPL set ID 9e02d6dd-97c1-7277-e053-2995a90a112dUNII VTD58H1Z2XUPC 0788199553636
Pharmacologic class
Catecholamine

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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N455714900201 followed by a unit qualifier and the quantity

Package 55714-9002-01. 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

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