NDC Package 0404-9809-02 Adenosine

View Billable Units, 11-Digit Format, RxNorm

Package Information
NDC HCPCS Crosswalk
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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

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

Labeler Name:

Henry Schein, Inc.

Sample Package:

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

Listing Expiration Date:

11-30-2024

Exclude Flag:

Code Structure:

0404 - Henry Schein, Inc.
- 0404-9809 - Adenosine
  - 0404-9809-02 - 1 VIAL in 1 BAG / 2 mL in 1 VIAL

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 Code	HCPCS Code	HCPCS Code Desc.	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
00404980902	J0153	Adenosine inj 1mg	1 MG	2	1	6	6

* 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, labeled by Henry Schein, Inc.. The product's dosage form is and is administered via form.

Is NDC 0404-9809 included in the NDC Directory?

No, Adenosine with product code 0404-9809 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Henry Schein, Inc. on January 06, 2022 and its listing in the NDC Directory is set to expire on November 30, 2024 if the product is not updated or renewed by the manufacturer.

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 Format	10-Digit Original Code	11-Digit Format	11-Digit Code
4-4-2	0404-9809-02	5-4-2	00404-9809-02

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