NDC codes

FDA NDC Directory
Product NDC (as listed)84120-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84120-0001Add 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
84120-001-018412000010184120000101377 L in 1 CYLINDER (84120-001-01)Marketed from May 7, 2024
84120-001-028412000010284120000102623 L in 1 CYLINDER (84120-001-02)Marketed from May 7, 2024
84120-001-0384120000103841200001032143 L in 1 CYLINDER (84120-001-03)Marketed from May 7, 2024
84120-001-0484120000104841200001042899 L in 1 CYLINDER (84120-001-04)Marketed from May 7, 2024
84120-001-0584120000105841200001055689 L in 1 CYLINDER (84120-001-05)Marketed from May 7, 2024
84120-001-0684120000106841200001066201 L in 1 CYLINDER (84120-001-06)Marketed from May 7, 2024
84120-001-0784120000107841200001076338 L in 1 CYLINDER (84120-001-07)Marketed from May 7, 2024
84120-001-0884120000108841200001086824 L in 1 CYLINDER (84120-001-08)Marketed from May 7, 2024
84120-001-0984120000109841200001097481 L in 1 CYLINDER (84120-001-09)Marketed from May 7, 2024
84120-001-1084120000110841200001108144 L in 1 CYLINDER (84120-001-10)Marketed from May 7, 2024
84120-001-118412000011184120000111762 L in 1 CYLINDER (84120-001-11)Marketed from May 7, 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)
Helium
Generic name (nonproprietary)
helium
Active ingredients
Helium — 992 mL/L
Dosage form
Gas
Route
Respiratory (Inhalation)
Labeler
WSM SUPPLIER LLC.NDC labeler code 84120
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 205843
Marketing start
Listing expires
Identifiers
Product ID 84120-001_40a9f139-f16f-bb51-e063-6294a90a5536SPL ID 40a9f139-f16f-bb51-e063-6294a90a5536SPL set ID 153317bb-7f55-0964-e063-6394a90a2922RxCUI 997972UNII 206GF3GB41

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.

NDC on a medical claim

N484120000101 followed by a unit qualifier and the quantity

Package 84120-0001-01. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 84120-001

What is NDC 84120-001?
84120-001 is the product NDC for Helium, Helium 992 mL/L gas, listed with the FDA by WSM SUPPLIER LLC.. It has 11 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Helium.
What is the active ingredient?
Helium.
Who is the labeler?
WSM SUPPLIER LLC., NDC labeler code 84120. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Helium?
15 other product NDCs are listed under this name. See all Helium 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 Helium NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
HeliumHelium 990 mL/LGasRespiratory (Inhalation)Machine & Welding Supply Company dba Arc3 Gases South49575-20049575-0200-0649575-0200-0749575-0200-08+1 more
HeliumHelium 990 mL/LGasRespiratory (Inhalation)ILMO Products Company51486-02051486-0020-0151486-0020-0251486-0020-03+2 more
HeliumHelium 990 mL/LGasRespiratory (Inhalation)Keen Compressed Gas Co. Inc.48273-01148273-0011-0148273-0011-0248273-0011-03+2 more
HeliumHelium 990 mL/LGasRespiratory (Inhalation)A-OX Welding Supply, LLC10297-00610297-0006-0110297-0006-0210297-0006-03
HeliumHelium 99 L/100LGasRespiratory (Inhalation)Norco, Inc.42602-00242602-0002-0142602-0002-0242602-0002-03+2 more
HeliumHelium 990 mL/LGasRespiratory (Inhalation)Linde Gas & Equipment Inc.59579-00559579-0005-0159579-0005-0259579-0005-03+23 more
HeliumHelium 990 mL/LGasRespiratory (Inhalation)Haun Specialty Gases, Inc.14961-00514961-0005-0114961-0005-0214961-0005-03
HeliumHelium 992 mL/LGasIntracoronary, Respiratory (Inhalation)AIRGAS USA, LLC11054-00411054-0004-0111054-0004-0211054-0004-03+40 more
HeliumHelium 999 mL/LGasRespiratory (Inhalation)NexAir, LLC12213-71012213-0710-1212213-0710-1312213-0710-20+6 more
HeliumHelium 99 L/100LGasRespiratory (Inhalation)Air Source Industries Inc10167-30010167-0300-0110167-0300-0210167-0300-03+4 more

All 16 Helium NDCs

Other NDCs under NDA 205843

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

FDA NDC Directory listings under NDA 205843
ProductStrengthForm · routeLabelerProduct NDC
Helium, OxygenHelium 600 mL/L; Oxygen 400 mL/LGasRespiratory (Inhalation)AIRGAS USA, LLC11054-042
HeliumHelium 992 mL/LGasIntracoronary, Respiratory (Inhalation)AIRGAS USA, LLC11054-004
HeliumHelium 99 L/100LGasRespiratory (Inhalation)Air Source Industries Inc10167-300
Helium Oxygen mixtureHelium 700 mL/L; Oxygen 300 mL/LGasRespiratory (Inhalation)Airgas Usa, LLC11054-032
Helium, OxygenHelium 800 mL/L; Oxygen 200 mL/LGasRespiratory (Inhalation)AIRGAS USA, LLC11054-041

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