Isolyte S Ph 7.4 Injection, Solution
NDC Package 0264-7707-00

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Isolyte S Ph 7.4 (sodium chloride, sodium gluconate, sodium acetate, potassium chloride, magnesium chloride, sodium phosphate, dibasic, and potassium phosphate) injection is this solution is indicated for use in adults as a source of electrolytes and water for hydration, and as an alkalinizing agent. This formulation utilizes a injection, solution delivery system. Marketed by B. Braun Medical Inc., this product is identified by NDC 0264-7707 and is authorized under FDA application NDA019696.

Identification & Billing

NDC Package Code
0264-7707-00
Package Description
12 CONTAINER in 1 CASE / 1000 mL in 1 CONTAINER
Product Code
11-Digit Billing Format
00264770700
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 800925 - magnesium chloride 0.00148 MEQ/ML / monobasic potassium phosphate 0.0082 MG/ML / potassium chloride 0.00497 MEQ/ML / sodium acetate 0.0272 MEQ/ML / sodium chloride 0.0906 MEQ/ML / sodium gluconate 5 MG/ML / sodium phosphate, dibasic 0.12 MG/ML Injectable Solution
  • RxCUI: 800925 - Magnesium Chloride 0.00148 MEQ/ML / Monobasic K+ phosphate 0.0082 MG/ML / K+ Chloride 0.00497 MEQ/ML / Sodium Acetate 0.0272 MEQ/ML / NaCl 0.0906 MEQ/ML / Sodium gluconate 5 MG/ML / Sodium Phosphate, Dibasic 0.12 MG/ML Injectable Solution
  • RxCUI: 800925 - Magnesium Chloride 0.00148 MEQ/ML / Monobasic Pot phosphate 0.0082 MG/ML / Pot Chloride 0.00497 MEQ/ML / Sodium Acetate 0.0272 MEQ/ML / NaCl 0.0906 MEQ/ML / Sodium gluconate 5 MG/ML / Sodium Phosphate, Dibasic 0.12 MG/ML Injectable Solution
  • RxCUI: 800928 - Isolyte S Injectable Solution
  • RxCUI: 800928 - magnesium chloride 0.00148 MEQ/ML / monobasic potassium phosphate 0.0082 MG/ML / potassium chloride 0.00497 MEQ/ML / sodium acetate 0.0272 MEQ/ML / sodium chloride 0.0906 MEQ/ML / sodium gluconate 5 MG/ML / sodium phosphate, dibasic 0.12 MG/ML Injectable Solution [Isolyte S]

Clinical Specifications

Proprietary Name
Isolyte S Ph 7.4
Non-Proprietary Name
Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride, Magnesium Chloride, Sodium Phosphate, Dibasic, And Potassium Phosphate
Substance Name
Magnesium Chloride; Potassium Chloride; Potassium Phosphate, Monobasic; Sodium Acetate; Sodium Chloride; Sodium Gluconate; Sodium Phosphate, Dibasic
Dosage Form
Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route
Intravenous - Administration within or into a vein or veins.
Usage Information
This solution is indicated for use in adults as a source of electrolytes and water for hydration, and as an alkalinizing agent.

Regulatory & Marketing

Labeler Name
B. Braun Medical Inc.
Product Type
Human Prescription Drug
FDA Application #
NDA019696
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
09-29-1989
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (0264-7707). Click a package code to view its specific billing and regulatory data.

24 CONTAINER in 1 CASE / 500 mL in 1 CONTAINER

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0264-7707-00 identifies a specific commercial package of 12 container in 1 case / 1000 ml in 1 container of Isolyte S Ph 7.4, a human prescription drug labeled by B. Braun Medical Inc.. This injection, solution is formulated for intravenous use and contains magnesium chloride; potassium chloride; potassium phosphate, monobasic; sodium acetate; sodium chloride; sodium gluconate; sodium phosphate, dibasic as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by B. Braun Medical Inc. on September 29, 1989. The current certification is valid through December 31, 2026.

How is this B. Braun Medical Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00264770700. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0264-7707-00
11-Digit CMS (5-4-2)
00264-7707-00

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.