NDC codes

FDA NDC Directory
Product NDC (as listed)71872-7122Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71872-7122Add 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
71872-7122-1718727122011 VIAL, SINGLE-DOSE in 1 BAG (71872-7122-1) / 2 mL in 1 VIAL, SINGLE-DOSEMarketed from Mar 30, 2018

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)
Dexmedetomidine Hydrochloride
Generic name (nonproprietary)
dexmedetomidine hydrochloride
Active ingredients
Dexmedetomidine hydrochloride — 100 ug/mL
Dosage form
Injection, Solution
Route
Intravenous
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 202126
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha2-Agonists (Mechanism)General Anesthesia (Physiologic effect)
Identifiers
Product ID 71872-7122_fc5dd4b0-0e31-858e-e053-6394a90a2714SPL ID fc5dd4b0-0e31-858e-e053-6394a90a2714SPL set ID 6937235f-ea25-4950-e053-2991aa0a9b74RxCUI 309710UNII 1018WH7F9I
Pharmacologic class
Central alpha-2 Adrenergic Agonist

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

N471872712201 followed by a unit qualifier and the quantity

Package 71872-7122-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Dexmedetomidine hydrochloride injection is a relatively selective alpha 2 -adrenergic agonist indicated for: Sedation of non-intubated patients prior to and/or during surgical and other procedures. (1.2) 1.2 Procedural Sedation Dexmedetomidine hydrochloride injection is indicated for sedation of non-intubated patients prior to and/or during surgical and other procedures.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 202126

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

FDA NDC Directory listings under ANDA 202126
ProductStrengthForm · routeLabelerProduct NDC
Dexmedetomidine HydrochlorideDexmedetomidine hydrochloride 100 ug/mLInjection, SolutionIntravenousSun Pharmaceuticals Industries, Inc.57664-596
DexmedetomidineDexmedetomidine hydrochloride 200 ug/2mLInjection, SolutionIntravenousPiramal Critical Care Inc66794-230
DexmedetomidineDexmedetomidine hydrochloride 200 ug/2mLInjection, SolutionIntravenousPiramal Critical Care Inc66794-233
DexmedetomidineDexmedetomidine hydrochloride 200 ug/2mLInjection, SolutionIntravenousProPharma Distribution84549-230
DexmedetomidineDexmedetomidine hydrochloride 100 ug/mLInjection, SolutionIntravenousGland Pharma Limited68083-527
DexmedetomidineDexmedetomidine hydrochloride 200 ug/2mLInjection, SolutionIntravenousMedical Purchasing Solutions, LLC71872-7323

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