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  5. NDC Package Code: 0404-9933-05 Phenytoin Sodium

NDC Package 0404-9933-05 Phenytoin Sodium

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. 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:
0404-9933-05
Package Description:
1 VIAL, SINGLE-DOSE in 1 BAG / 5 mL in 1 VIAL, SINGLE-DOSE
Product Code:
0404-9933
Proprietary Name:
Phenytoin Sodium
Usage Information:
Parenteral Phenytoing Sodium Injection is indicated for the treatment of generalized tonic-clonic status epilepticus, and prevention and treatment of seizures occurring during neurosurgery. intravenous phenytoin can also be substituted, as short-term use, for oral phenytoin. Parenteral phenytoind should be used only when oral phenytoin administration is not possible [see DOSAGE AND ADMINISTRATIONand WARNINGS AND PRECAUTIONS.
11-Digit NDC Billing Format:
00404993305
Labeler Name:
Henry Schein, Inc.
Sample Package:
No
FDA Application Number:
ANDA084307
Marketing Category:
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date:
01-13-2022
End Marketing Date:
01-31-2025
Listing Expiration Date:
01-31-2025
Exclude Flag:
D
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 0404-9933-05 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00404993305J1165Phenytoin sodium injection50 MG5155

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0404-9933-05?

The NDC Packaged Code 0404-9933-05 is assigned to a package of 1 vial, single-dose in 1 bag / 5 ml in 1 vial, single-dose of Phenytoin Sodium, labeled by Henry Schein, Inc.. The product's dosage form is and is administered via form.

Is NDC 0404-9933 included in the NDC Directory?

No, Phenytoin Sodium with product code 0404-9933 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Henry Schein, Inc. on January 13, 2022 and its listing in the NDC Directory is set to expire on January 31, 2025 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 0404-9933-05?

The 11-digit format is 00404993305. 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
4-4-20404-9933-055-4-200404-9933-05