Prescription drug · NDA
Dextrose (dextrose monohydrate) NDC 84549-517
Dextrose monohydrate 25 g/50mL · Injection, Solution · Intravenous · ProPharma Distribution
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84549-517-16 | 84549051716 | 50 mL in 1 SYRINGE, PLASTIC (84549-517-16)Marketed from Aug 27, 2025 |
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)
- Dextrose
- Generic name (nonproprietary)
- dextrose monohydrate
- Active ingredients
- Dextrose monohydrate — 25 g/50mL
- Dosage form
- Injection, Solution
- Route
- Intravenous
- Labeler
- ProPharma Distribution
- Product type
- Prescription drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 019445
- Marketing start
- Listing expires
- Identifiers
- Product ID 84549-517_3a38eb65-2341-a3ef-e063-6294a90ac75dSPL ID 3a38eb65-2341-a3ef-e063-6294a90ac75dSPL set ID 3842a9c0-8b15-1c94-e063-6394a90ae120RxCUI 727517UNII LX22YL083G
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.
- NDC on a medical claim
N484549051716followed by a unit qualifier and the quantityPackage 84549-0517-16. 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)
INDICATIONS AND USAGE 50% Dextrose Injection is indicated in the treatment of insulin hypoglycemia (hyperinsulinemia or insulin shock) to restore blood glucose levels. The solution is also indicated, after dilution, for intravenous infusion as a source of carbohydrate calories in patients whose oral intake is restricted or inadequate to maintain nutritional requirements. Slow infusion of hypertonic solutions is essential to ensure proper utilization of dextrose and avoid production of hyperglycemia.
Excerpt only. Read the full label for complete information.
Other NDCs under NDA 019445
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | REMEDYREPACK INC. | 70518-4452 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | REMEDYREPACK INC. | 70518-4219 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-1775 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-7517 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7214 |
| 25% Dextrose Infant | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | HF Acquisition Co. LLC, DBA Health First | 51662-1213 |
| Dextrose | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | HF Acquisition Co LLC, DBA HealthFirst | 51662-1215 |
| 50% Dextrose | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | HF Acquisition Co LLC, DBA HealthFirst | 51662-1216 |
| Infant Dextrosedextrose | Dextrose monohydrate 250 mg/mL | Injection, SolutionIntravenous | Henry Schein, Inc. | 0404-9844 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Henry Schein, Inc. | 0404-9845 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Henry Schein, Inc. | 0404-9847 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7003 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Medical Purchasing Solutions, LLC | 71872-7057 |
| Dextrosedextrose monohydrate | Dextrose monohydrate 25 g/50mL | Injection, SolutionIntravenous | Hospira, Inc. | 0409-6648 |