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  5. NDC Package Code: 0264-2205-00 Physiolyte

NDC Package 0264-2205-00 Physiolyte

Sodium Chloride,Sodium Gluconate,Sodium Acetate,Potassium Chloride,And Magnesium Chloride - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0264-2205-00
Package Description:
16 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER
Product Code:
0264-2205
Proprietary Name:
Physiolyte
Non-Proprietary Name:
Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride, And Magnesium Chloride
Substance Name:
Magnesium Chloride; Potassium Chloride; Sodium Acetate; Sodium Chloride; Sodium Gluconate
Usage Information:
Physiolyte™ (A Physiological Irrigating Solution) is indicated for all general irrigation, washing, and rinsing purposes which permit use of a sterile, nonpyrogenic electrolyte solution.
11-Digit NDC Billing Format:
00264220500
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 827351 - magnesium chloride 0.03 GM / potassium chloride 0.037 GM / sodium acetate 0.37 GM / sodium chloride 0.53 GM / sodium gluconate 0.5 GM per 100 mL Irrigation Solution
  • RxCUI: 827351 - magnesium chloride 0.00148 MEQ/ML / potassium chloride 0.005 MEQ/ML / sodium acetate 0.027 MEQ/ML / sodium chloride 0.09 MEQ/ML / sodium gluconate 0.023 MEQ/ML Irrigation Solution
  • RxCUI: 827351 - Magnesium Chloride 0.00148 MEQ/ML / K+ Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation Solution
  • RxCUI: 827351 - Magnesium Chloride 0.00148 MEQ/ML / Pot Chloride 0.005 MEQ/ML / Sodium Acetate 0.027 MEQ/ML / NaCl 0.09 MEQ/ML / Sodium gluconate 0.023 MEQ/ML Irrigation Solution
  • RxCUI: 827351 - magnesium chloride 0.03 GM / potassium chloride 0.037 GM / sodium acetate 0.37 GM / sodium chloride 0.53 GM / sodium gluconate 0.5 GM per 100 ML Irrigation Solution
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    B. Braun Medical Inc.
    Dosage Form:
    Irrigant - A sterile solution intended to bathe or flush open wounds or body cavities; they're used topically, never parenterally.
    Administration Route(s):
  • Irrigation - Administration to bathe or flush open wounds or body cavities.
    • Active Ingredient(s):
  • MAGNESIUM CHLORIDE .03 g/100mL
  • POTASSIUM CHLORIDE .037 g/100mL
  • SODIUM ACETATE .37 g/100mL
  • SODIUM CHLORIDE .53 g/100mL
  • SODIUM GLUCONATE .5 g/100mL
    • Pharmacologic Class(es):
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Inhibition Small Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Magnesium Ion Exchange Activity - [MoA] (Mechanism of Action)
  • Osmotic Activity - [MoA] (Mechanism of Action)
  • Osmotic Laxative - [EPC] (Established Pharmacologic Class)
  • Potassium Compounds - [CS]
  • Potassium Salt - [EPC] (Established Pharmacologic Class)
  • Stimulation Large Intestine Fluid/Electrolyte Secretion - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    NDA019024
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    06-08-1984
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0264-2205-00?

    The NDC Packaged Code 0264-2205-00 is assigned to a package of 16 container in 1 case / 1000 ml in 1 container of Physiolyte, a human prescription drug labeled by B. Braun Medical Inc.. The product's dosage form is irrigant and is administered via irrigation form.

    Is NDC 0264-2205 included in the NDC Directory?

    Yes, Physiolyte with product code 0264-2205 is active and included in the NDC Directory. The product was first marketed by B. Braun Medical Inc. on June 08, 1984 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0264-2205-00?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 0264-2205-00?

    The 11-digit format is 00264220500. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20264-2205-005-4-200264-2205-00