NDC codes

FDA NDC Directory
Product NDC (as listed)72205-172Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72205-0172Add 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
72205-172-07722050172077220501720710 VIAL, SINGLE-DOSE in 1 CARTON (72205-172-07) / 6 mL in 1 VIAL, SINGLE-DOSE (72205-172-01)Marketed from Feb 6, 2024

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)
Arsenic Trioxide
Generic name (nonproprietary)
arsenic trioxide
Active ingredients
Arsenic trioxide — 2 mg/2mL
Dosage form
Injection, Solution
Route
Intravenous
Labeler
Novadoz Pharmaceuticals LLCNDC labeler code 72205
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 217413
Marketing start
Listing expires
Identifiers
Product ID 72205-172_8849c8f9-ee41-4ccd-8a62-67b04e80a276SPL ID 8849c8f9-ee41-4ccd-8a62-67b04e80a276SPL set ID 8849c8f9-ee41-4ccd-8a62-67b04e80a276RxCUI 829926UNII S7V92P67HOUPC 0372205171077

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

N472205017207 followed by a unit qualifier and the quantity

Package 72205-0172-07. 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)

Arsenic trioxide injection is an arsenical indicated: For induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression. ( 1.2 ) 1.2 Relapsed or Refractory APL Arsenic trioxide injection is indicated for induction of remission and consolidation in patients with APL who are refractory to, or have relapsed from, retinoid and anthracycline chemotherapy, and whose APL is characterized by the presence of the t(15;17) translocation or PML/RAR-alpha gene expression.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72205-172

What is NDC 72205-172?
72205-172 is the product NDC for Arsenic Trioxide, Arsenic trioxide 2 mg/2mL injection, solution, listed with the FDA by Novadoz Pharmaceuticals LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Arsenic Trioxide.
What is the active ingredient?
Arsenic trioxide.
Who is the labeler?
Novadoz Pharmaceuticals LLC, NDC labeler code 72205. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Arsenic Trioxide?
26 other product NDCs are listed under this name. See all Arsenic Trioxide 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 Arsenic Trioxide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-00983090-0009-0183090-0009-10
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-01083090-0010-0183090-0010-10
Arsenic TrioxideArsenic trioxide 1 mg/mLInjectionIntravenousHeritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc23155-86923155-0869-41
Arsenic TrioxideArsenic trioxide 2 mg/mLInjectionIntravenousHeritage Pharma Labs Inc. d/b/a Avet Pharmaceuticals Inc23155-87023155-0870-41
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-00581607-0005-11
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-00681607-0006-07
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNovadoz Pharmaceuticals LLC72205-17172205-0171-07
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNorthstar Rx LLC72603-33972603-0339-10
Arsenic trioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousZydus Pharmaceuticals USA Inc.70710-189570710-1895-06
Arsenic trioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousZydus Pharmaceuticals USA Inc.70710-189670710-1896-06

All 27 Arsenic Trioxide NDCs

Other NDCs under ANDA 217413

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

FDA NDC Directory listings under ANDA 217413
ProductStrengthForm · routeLabelerProduct NDC
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNovadoz Pharmaceuticals LLC72205-171
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousNorthstar Rx LLC72603-339
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-005
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousOrbicular Pharmaceutical Technologies Private Limited81607-006
Arsenic TrioxideArsenic trioxide 1 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-009
Arsenic TrioxideArsenic trioxide 2 mg/mLInjection, SolutionIntravenousSintetica US LLC83090-010

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