Dextrose In Lactated Ringers Injection, Solution
NDC Package 0264-7751-10

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Other Packages
    4. Frequently Asked Questions

Package Information

Dextrose In Lactated Ringers (dextrose, sodium chloride, sodium lactate, potassium chloride, and calcium chloride) injection is this solution is indicated for use in adults and pediatric patients as a source of electrolytes, calories and water for hydration. This formulation utilizes a injection, solution delivery system. Marketed by B. Braun Medical Inc., this product is identified by NDC 0264-7751 and is authorized under FDA application NDA019634.

Identification & Billing

NDC Package Code
0264-7751-10
Package Description
24 CONTAINER in 1 CASE / 500 mL in 1 CONTAINER
Product Code
0264-7751
11-Digit Billing Format
00264775110
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 847627 - lactated Ringers with dextrose 5 % Injectable Solution
  • RxCUI: 847627 - calcium chloride 0.2 MG/ML / glucose 50 MG/ML / potassium chloride 0.3 MG/ML / sodium chloride 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
  • RxCUI: 847627 - calcium chloride 0.2 MG/ML / glucose 50 MG/ML / K+ chloride 0.3 MG/ML / NaCl 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
  • RxCUI: 847627 - calcium chloride 0.2 MG/ML / glucose 50 MG/ML / Pot chloride 0.3 MG/ML / NaCl 6 MG/ML / sodium lactate 3.1 MG/ML Injectable Solution
  • RxCUI: 847627 - calcium chloride 20 MG / potassium chloride 30 MG / sodium chloride 600 MG / sodium lactate 310 MG per 100 ML Ringers with dextrose 5 % Injectable Solution

Clinical Specifications

Proprietary Name
Dextrose In Lactated Ringers
Non-Proprietary Name
Dextrose, Sodium Chloride, Sodium Lactate, Potassium Chloride, And Calcium Chloride
Substance Name
Calcium Chloride; Dextrose Monohydrate; Potassium Chloride; Sodium Chloride; Sodium Lactate
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 and pediatric patients as a source of electrolytes, calories and water for hydration.

Regulatory & Marketing

Labeler Name
B. Braun Medical Inc.
Product Type
Human Prescription Drug
FDA Application #
NDA019634
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
02-24-1988
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.

Billing & HCPCS Mapping

To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.

J7121
Source: PDAC
5% DEXTROSE IN LACTATED RINGERS INFUSION, UP TO 1000 CC
HCPCS Dosage 1000 ML
Units / Pkg

Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.

* 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 (0264-7751). Click a package code to view its specific billing and regulatory data.

0264-7751-00
12 CONTAINER in 1 CASE / 1000 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 0264-7751-10 identifies a specific commercial package of 24 container in 1 case / 500 ml in 1 container of Dextrose In Lactated Ringers, a human prescription drug labeled by B. Braun Medical Inc.. This injection, solution is formulated for intravenous use and contains calcium chloride; dextrose monohydrate; potassium chloride; sodium chloride; sodium lactate 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 February 24, 1988. 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: 00264775110. 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)
0264-7751-10
11-Digit CMS (5-4-2)
00264-7751-10

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