NDC codes

FDA NDC Directory
Product NDC (as listed)67457-220Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67457-0220Add 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
67457-220-0567457022005674570220056 VIAL, GLASS in 1 CARTON (67457-220-05) / 5 mL in 1 VIAL, GLASSMarketed from Mar 14, 2013

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)
Isosulfan Blue
Generic name (nonproprietary)
isosulfan blue
Active ingredients
Isosulfan blue — 10 mg/mL
Dosage form
Injection, Solution
Route
Subcutaneous
Labeler
Mylan Institutional LLCNDC labeler code 67457
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 090874
Marketing start
Listing expires
Identifiers
Product ID 67457-220_9c3ccc87-6252-4bd1-afda-4158ce4d66aaSPL ID 9c3ccc87-6252-4bd1-afda-4158ce4d66aaSPL set ID 1878964e-5220-48c8-a872-dcadbc451affUNII 39N9K8S2A4

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.

Administration

Drug administration (CPT 96360–96549)

When a clinician administers the drug, the administration is reported separately. Codes in this range cover hydration, therapeutic injections and infusions, and chemotherapy or other complex drug administration. The right code depends on route, duration and drug type, and self-administered drugs are not billed this way.

How CPT relates to drug billing

NDC on a medical claim

N467457022005 followed by a unit qualifier and the quantity

Package 67457-0220-05. 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)

Isosulfan blue injection 1% upon subcutaneous administration, delineates the lymphatic vessels draining the region of injection. It is an adjunct to lymphography in: primary and secondary lymphedema of the extremities; chyluria, chylous ascites or chylothorax; lymph node involvement by primary or secondary neoplasm; lymph node response to therapeutic modalities ( 1.1 ). 1.1 Lymphatic Vessel Delineation Isosulfan blue injection 1% upon subcutaneous administration, delineates lymphatic vessels draining the region of injection. It is an adjunct to lymphography in: primary and secondary lymphedema of the extremities; chyluria, chylous ascites or chylothorax; lymph node involvement by primary or …

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67457-220

What is NDC 67457-220?
67457-220 is the product NDC for Isosulfan Blue, Isosulfan blue 10 mg/mL injection, solution, listed with the FDA by Mylan Institutional LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Isosulfan Blue.
What is the active ingredient?
Isosulfan blue.
Who is the labeler?
Mylan Institutional LLC, NDC labeler code 67457. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Isosulfan Blue?
7 other product NDCs are listed under this name. See all Isosulfan Blue NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Isosulfan Blue NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousSomerset Therapeutics, LLC70069-22170069-0221-06
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousDevatis, Inc.73043-09373043-0093-06
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousMylan Institutional LLC72078-06972078-0069-01
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousMylan Institutional LLC72078-07072078-0070-03
Isosulfan blueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousNovadoz Pharmaceuticals LLC72205-19572205-0195-0172205-0195-02
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousMeitheal Pharmaceuticals Inc.71288-80571288-0805-06
Isosulfan BlueIsosulfan blue 50 mg/5mLInjection, SolutionSubcutaneousEugia US LLC55150-24055150-0240-06

Other NDCs under ANDA 090874

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

FDA NDC Directory listings under ANDA 090874
ProductStrengthForm · routeLabelerProduct NDC
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousMylan Institutional LLC72078-069
Isosulfan BlueIsosulfan blue 10 mg/mLInjection, SolutionSubcutaneousMylan Institutional LLC72078-070

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