1. Home
  2. Labeler Index
  3. Henry Schein, Inc.
  4. 0404-9809
  5. NDC Package Code: 0404-9809-02 Adenosine

NDC Package 0404-9809-02 Adenosine

Injection, Solution Intravenous - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. 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:
0404-9809-02
Package Description:
1 VIAL in 1 BAG / 2 mL in 1 VIAL
Product Code:
0404-9809
Proprietary Name:
Adenosine
Non-Proprietary Name:
Adenosine
Substance Name:
Adenosine
Usage Information:
Adenosine injection is indicated for the following.Conversion to sinus rhythm of paroxysmal supraventricular tachycardia (PSVT), including that associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome). When clinically advisable, appropriate vagal maneuvers (e.g., Valsalva maneuver), should be attempted prior to adenosine administration.It is important to be sure the adenosine solution actually reaches the systemic circulation (see DOSAGE AND ADMINISTRATION).Adenosine does not convert atrial flutter, atrial fibrillation, or ventricular tachycardia to normal sinus rhythm. In the presence of atrial flutter or atrial fibrillation, a transient modest slowing of ventricular response may occur immediately following adenosine administration.
11-Digit NDC Billing Format:
00404980902
NDC to RxNorm Crosswalk:
  • RxCUI: 1654169 - adenosine 6 MG in 2 mL Injection
  • RxCUI: 1654169 - 2 ML adenosine 3 MG/ML Injection
  • RxCUI: 1654169 - adenosine 6 MG per 2 ML Injection
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Henry Schein, Inc.
    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(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • ADENOSINE 3 mg/mL
    • Pharmacologic Class(es):
  • Adenosine Receptor Agonist - [EPC] (Established Pharmacologic Class)
  • Adenosine Receptor Agonists - [MoA] (Mechanism of Action)
    • Sample Package:
    No
    FDA Application Number:
    ANDA078076
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    01-06-2022
    End Marketing Date:
    11-30-2024
    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.

    NDC HCPCS Crosswalk

    This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

    NDC 0404-9809-02 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    00404980902J0153Adenosine inj 1mg1 MG2166

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0404-9809-02?

    The NDC Packaged Code 0404-9809-02 is assigned to a package of 1 vial in 1 bag / 2 ml in 1 vial of Adenosine, a human prescription drug labeled by Henry Schein, Inc.. The product's dosage form is injection, solution and is administered via intravenous form.

    Is NDC 0404-9809 included in the NDC Directory?

    Yes, Adenosine with product code 0404-9809 is active and included in the NDC Directory. The product was first marketed by Henry Schein, Inc. on January 06, 2022.

    What is the 11-digit format for NDC 0404-9809-02?

    The 11-digit format is 00404980902. 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
    4-4-20404-9809-025-4-200404-9809-02