Isolyte P In Dextrose Injection, Solution
NDC Package 0264-7730-10

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Isolyte P In Dextrose (dextrose, sodium acetate, potassium chloride, magnesium chloride, and potassium phosphate, dibasic) injection is this solution is indicated for use in adults as a source of electrolytes, calories 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 0264-7730 and is authorized under FDA application NDA019873.

Identification & Billing

NDC Package Code
0264-7730-10
Package Description
24 CONTAINER in 1 CASE / 500 mL in 1 CONTAINER
Product Code
0264-7730
11-Digit Billing Format
00264773010
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 800808 - dibasic potassium phosphate 0.26 MG/ML / glucose 50 MG/ML / magnesium chloride 0.00373 MEQ/ML / potassium chloride 0.00174 MEQ/ML / sodium acetate 0.039 MEQ/ML Injectable Solution
  • RxCUI: 800808 - Dibasic K+ phosphate 0.26 MG/ML / Glucose 50 MG/ML / Magnesium Chloride 0.00373 MEQ/ML / K+ Chloride 0.00174 MEQ/ML / Sodium Acetate 0.039 MEQ/ML Injectable Solution
  • RxCUI: 800808 - Dibasic Pot phosphate 0.26 MG/ML / Glucose 50 MG/ML / Magnesium Chloride 0.00373 MEQ/ML / Pot Chloride 0.00174 MEQ/ML / Sodium Acetate 0.039 MEQ/ML Injectable Solution
  • RxCUI: 800812 - Isolyte P in 5 % Dextrose Injectable Solution
  • RxCUI: 800812 - dibasic potassium phosphate 0.26 MG/ML / glucose 50 MG/ML / magnesium chloride 0.00373 MEQ/ML / potassium chloride 0.00174 MEQ/ML / sodium acetate 0.039 MEQ/ML Injectable Solution [Isolyte P]

Clinical Specifications

Proprietary Name
Isolyte P In Dextrose
Non-Proprietary Name
Dextrose, Sodium Acetate, Potassium Chloride, Magnesium Chloride, And Potassium Phosphate, Dibasic
Substance Name
Dextrose Monohydrate; Magnesium Chloride; Potassium Chloride; Potassium Phosphate, Dibasic; Sodium Acetate
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.
Active Ingredient(s)
Pharmacologic Class
Usage Information
This solution is indicated for use in adults as a source of electrolytes, calories and water for hydration, and as an alkalinizing agent.

Regulatory & Marketing

Labeler Name
B. Braun Medical Inc.
Product Type
Human Prescription Drug
FDA Application #
NDA019873
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
06-10-1993
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0264-7730-10 identifies a specific commercial package of 24 container in 1 case / 500 ml in 1 container of Isolyte P In Dextrose, a human prescription drug labeled by B. Braun Medical Inc.. This injection, solution is formulated for intravenous use and contains dextrose monohydrate; magnesium chloride; potassium chloride; potassium phosphate, dibasic; sodium acetate 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 June 10, 1993. 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: 00264773010. 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)
0264-7730-10
11-Digit CMS (5-4-2)
00264-7730-10

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