Dyural 40 Kit NDC 76420-750

NDC codes

FDA NDC Directory

Product NDC (as listed)76420-750Labeler and product segments. Claims need a package NDC.

Product NDC at billing width76420-0750Add 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 NDC	11-digit (billing)	Package	Copy
76420-750-01	76420075001	1 KIT in 1 CARTON (76420-750-01) * .9 mL in 1 PACKET (67777-419-02) * 10 mL in 1 VIAL, PLASTIC (0409-4887-17) * 10 mL in 1 VIAL, SINGLE-DOSE (0409-4888-02) * 5 mL in 1 POUCH * 10 mL in 1 VIAL, SINGLE-DOSE (0409-1159-18) * 10 VIAL, SINGLE-DOSE in 1 CARTON (55150-162-05) / 5 mL in 1 VIAL, SINGLE-DOSE * 25 VIAL, SINGLE-DOSE in 1 CARTON (70121-1573-5) / 1 mL in 1 VIAL, SINGLE-DOSEMarketed from May 23, 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): Dyural 40 Kit
Generic name (nonproprietary): methylprednisolone acetate, lidocaine hydrochloride, bupivacaine hydrochloride, povidine iodine, sodium chloride, isopropyl alcohol
Dosage form: Kit
Route: Epidural, Infiltration, Intra-articular, Intralesional, Intramuscular, Intravenous, Soft tissue, Subcutaneous, Topical
Labeler: Asclemed USA, Inc.
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Jul 25, 2014
Listing expires: Dec 31, 2027
Identifiers: Product ID 76420-750_47dafc8b-7910-15ca-e063-6394a90ab798SPL ID 47dafc8b-7910-15ca-e063-6394a90ab798SPL set ID 151ae26c-bd4e-4582-b67a-7b5baf466953RxCUI 797544, 797730, 1725078, 1725082, 1737566, 1743779, 1807631, 1807637, 1807638

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

N476420075001 followed by a unit qualifier and the quantity

Package 76420-0750-01. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.