NDC codes

FDA NDC Directory
Product NDC (as listed)69396-116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0116Add 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
69396-116-05693960116056939601160560 VIAL in 1 CARTON (69396-116-05) / 5 mL in 1 VIALMarketed from Nov 22, 2022

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)
Saline Ampoules
Generic name (nonproprietary)
sodium chloride 0.9%
Active ingredients
Sodium chloride — 9 mg/mL
Dosage form
Spray
Route
Topical
Labeler
Trifecta Pharmaceuticals USA, LLC.NDC labeler code 69396
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 69396-116_410d90c1-c459-8577-e063-6394a90a8254SPL ID 410d90c1-c459-8577-e063-6394a90a8254SPL set ID ee18ef7c-bb5d-30ec-e053-2a95a90a964eRxCUI 351179UNII 451W47IQ8XUPC 0764613934663

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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N469396011605 followed by a unit qualifier and the quantity

Package 69396-0116-05. 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)

This product may be used for conditions in the respiratory passages, nasal cavity or as directed by your healthcare provider.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69396-116

What is NDC 69396-116?
69396-116 is the product NDC for Saline Ampoules (sodium chloride 0.9%), Sodium chloride 9 mg/mL spray, listed with the FDA by Trifecta Pharmaceuticals USA, LLC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Saline Ampoules (Sodium Chloride 0.9%).
What is the active ingredient?
Sodium chloride.
Who is the labeler?
Trifecta Pharmaceuticals USA, LLC., NDC labeler code 69396. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Saline Ampoules?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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