NDC codes

FDA NDC Directory
Product NDC (as listed)68083-174Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68083-0174Add 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
68083-174-106808301741010 VIAL in 1 CARTON (68083-174-10) / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL (68083-174-01)Marketed from Jun 1, 2016

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)
Polymyxin B
Generic name (nonproprietary)
polymyxin b sulfate
Active ingredients
Polymyxin b sulfate500000 [USP'U]/1
Dosage form
Injection, Powder, Lyophilized, For solution
Route
Intramuscular, Intrathecal, Intravenous, Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 207322
Marketing start
Listing expires
Other FDA classes
Polymyxins (Chemical structure)
Identifiers
Product ID 68083-174_0f89d7be-ad20-46d1-8cce-0cee8ee572cfSPL ID 0f89d7be-ad20-46d1-8cce-0cee8ee572cfSPL set ID dc74dee2-1d0b-4fab-a29b-1755fdb5da75RxCUI 204509UNII 19371312D4
Pharmacologic class
Polymyxin-class Antibacterial

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

N468083017410 followed by a unit qualifier and the quantity

Package 68083-0174-10. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

INDICATIONS AND USAGE Acute Infections Caused by Susceptible Strains of Pseudomonas aeruginosa . Polymyxin B sulfate is a drug of choice in the treatment of infections of the urinary tract, meninges, and bloodstream caused by susceptible strains of Ps. aeruginosa. It may also be used topically and subconjunctivally in the treatment of infections of the eye caused by susceptible strains of Ps. aeruginosa . It may be indicated in serious infections caused by susceptible strains of the following organisms, when less potentially toxic drugs are ineffective or contraindicated: H. influenzae , specifically meningeal infections. Escherichia coli , specifically urinary tract infections. Aerobacter a

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 207322

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

FDA NDC Directory listings under ANDA 207322
ProductStrengthForm · routeLabelerProduct NDC
Polymyxin Bpolymyxin b sulfatePolymyxin b sulfate 500000 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntramuscular, Intrathecal, Intravenous, OphthalmicFOSUN PHARMA USA INC72266-249
Polymyxin Bpolymyxin b sulfatePolymyxin b sulfate 500000 [USP'U]/1Injection, Powder, Lyophilized, For solutionIntramuscular, Intrathecal, IntravenousSagent Pharmaceuticals25021-196

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