NDC codes

FDA NDC Directory
Product NDC (as listed)75124-0004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75124-0004Add 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
75124-0004-175124000401751240004019 g in 1 PACKAGE (75124-0004-1)Marketed from Apr 1, 2020

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)
EasyStick
Generic name (nonproprietary)
sodium chlorite
Active ingredients
Sodium chlorite — 5 g/100g
Dosage form
Liquid
Route
Topical
Labeler
Pure O2NDC labeler code 75124
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 75124-0004_0a4eb0be-cd46-6702-e063-6294a90ab9a3SPL ID 0a4eb0be-cd46-6702-e063-6294a90ab9a3SPL set ID a39b9ce6-a074-4165-e053-2995a90a277aUNII G538EBV4VF

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

N475124000401 followed by a unit qualifier and the quantity

Package 75124-0004-01. 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)

please see the label attached

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 75124-0004

What is NDC 75124-0004?
75124-0004 is the product NDC for EasyStick (sodium chlorite), Sodium chlorite 5 g/100g liquid, listed with the FDA by Pure O2. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
EasyStick (Sodium chlorite).
What is the active ingredient?
Sodium chlorite.
Who is the labeler?
Pure O2, NDC labeler code 75124. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for EasyStick?
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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