NDC codes

FDA NDC Directory
Product NDC (as listed)61509-100Labeler and product segments. Claims need a package NDC.
Product NDC at billing width61509-0100Add 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
61509-100-186150901001830 mL in 1 BOTTLE, PLASTIC (61509-100-18)Marketed from Sep 1, 2014

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)
Hemostat
Generic name (nonproprietary)
aluminum chloride
Active ingredients
Aluminum chloride — 7500 mg/30mL
Dosage form
Solution
Route
Dental
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 61509-100_1809d5ee-d7a6-ee89-e063-6394a90a5174SPL ID 1809d5ee-d7a6-ee89-e063-6394a90a5174SPL set ID ddb206ac-28ed-48ac-8d78-88e95cf03918RxCUI 966557UNII 3CYT62D3GA

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

N461509010018 followed by a unit qualifier and the quantity

Package 61509-0100-18. 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)

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