NDC Compounded Drug 69194-104-10 Diltiazem Hydrochloride

Injection Intravenous

Table of Contents

    1. Compounded Product Information
    2. NDC Crossover Products Matching 104 Diltiazem Hcl 125mg/125ml
    3. Frequently Asked Questions

Compounded Drug Product Information

NDC Product Code 69194-104
NDC Package Code 69194-104-10
11-Digit NDC Billing Format NDC Format for Billing
For insurance billing purposes the Centers for Medicare & Medicaid Services (CMS) created an 11 digit NDC derivative identifier. If the NDC Package code is less than 11 digits the code must be padded with leading zeros. The leading zeros must be added to the appropriate segment to create a 5-4-2 configuration.		 69194010410
Package Description 10 BAG in 1 CASE > 125 mL in 1 BAG (69194-104-01)
Product Type What kind of product is this?
Indicates the type of product, such as Human Prescription Drug or Human Over the Counter Drug. This data element matches the “Document Type” field of the Structured Product Listing.		 Human Compounded Drug
Proprietary Name What is the Proprietary Name?
The proprietary name also known as the trade name is the name of the product chosen by the medication labeler for marketing purposes.		 104 Diltiazem Hcl 125mg/125ml
Non-Proprietary Name What is the Non-Proprietary Name?
The non-proprietary name is sometimes called the generic name. The generic name usually includes the active ingredient(s) of the product.		 104 Diltiazem Hcl 125mg/125ml
Substance Name What is the Substance Name?
An active ingredient is the substance responsible for the medicinal effects of a product specified by the substance's molecular structure or if the molecular structure is not known, defined by an unambiguous definition that identifies the substance. Each active ingredient name is the preferred term of the UNII code submitted.		 Diltiazem Hydrochloride
Dosage Form Injection - A sterile preparation intended for parenteral use; five distinct classes of injections exist as defined by the USP.
Route Name Intravenous - Administration within or into a vein or veins.
Marketing Category OUTSOURCING FACILITY COMPOUNDED HUMAN DRUG PRODUCT (EXEMPT FROM APPROVAL REQUIREMENTS)
Labeler Code 69194
Labeler Name What is the Labeler Name?
Name of Company corresponding to the labeler code segment of the Product NDC.		 Pine Pharmaceuticals Llc
Substance Name Diltiazem Hydrochloride
Active Ingredients Information 125 mg/125 mL
Reporting Period 2024-1

NDC Crossover Products Matching Diltiazem Hydrochloride

NDC crossover of 104 Diltiazem Hcl 125mg/125ml with NDC 69194-104 a human compounded drug with other similar products matching the same substance name (Diltiazem Hydrochloride) and the same administration route (intravenous) or dosage form (injection).

Frequently Asked Questions

What is the NDC number assigned to Diltiazem Pf 125mg In 125ml D5w Ivb?

Diltiazem Pf 125mg In 125ml D5w Ivb was assigned by its manufacturer with NDC product code 69194-104. This product is a drug classified as a human compounded drug. Compounded drugs are medications created by combining or altering existing drugs to meet the specific needs of certain patients. The NDC directory only includes information about compounded drugs from facilities that choose to assign NDC numbers to their products.

Which are the NDC package codes for Diltiazem Pf 125mg In 125ml D5w Ivb?

The NDC package code 69194-104-10 was assigned to a 10 BAG in 1 CASE > 125 mL in 1 BAG (69194-104-01) of diltiazem hydrochloride administered intravenous via injection.

Who manufactures this product?

Diltiazem Pf 125mg In 125ml D5w Ivb is manufactured by an outsourced facility and labeled by Pine Pharmaceuticals Llc. All compounded drugs included in the NDC directory are classified as "Outsourcing Facility Compounded Human Drug Product (Exempt from Approval Requirements)". Outsourcing facilities are a type of drug compounding facility regulated under Section 503B of the FD&C Act could be eligible for exemptions from drug registration if they meet all the conditions specified under Section 503B.

Which are the NDC crossover matchings for this product?

We found 12 matching products that have the same substance, dosage form and administration route. The matching products are manufactured by SSM Health Care St. Louis d/b/a SSM Health St. Clare-Fenton, Ssm Hlth St Clare Hosp-Fnton, Hikma Injectables USA Inc. and QuVa Pharma, Inc. with NDC product codes 60652-6015-1, 60652-6015-1, 63037-116-05, 63037-116-05, 63037-117-05, 63037-117-05, 63037-118-05, 63037-119-05, 70092-575-36, 70092-575-36, 70092-575-36 and 70092-575-36.