Fluconazole
NDC Package 0409-4688-18

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

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

Fluconazole is used to treat vaginal yeast infections. Marketed by Hospira, Inc., this product is identified by NDC 0409-4688 and is authorized under FDA application ANDA076303.

Identification & Billing

NDC Package Code
0409-4688-18
Package Description
24 BAG in 1 CASE / 100 mL in 1 BAG (0409-4688-22)
Product Code
0409-4688
11-Digit Billing Format
00409468818
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Fluconazole
Dosage Form
-
Usage Information
Fluconazole is used to treat vaginal yeast infections. It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals.

Regulatory & Marketing

Labeler Name
Hospira, Inc.
FDA Application #
ANDA076303
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-29-2004
End Marketing Date
02-01-2016
Listing Expiration
02-01-2016
Exclude Flag
D
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.

J1450
Source: PDAC
INJECTION FLUCONAZOLE, 200 MG
HCPCS Dosage 200 MG
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 (0409-4688). Click a package code to view its specific billing and regulatory data.

0409-4688-12
24 BAG in 1 CASE / 200 mL in 1 BAG (0409-4688-16)
0409-4688-28
6 BAG in 1 CARTON / 100 mL in 1 BAG
0409-4688-34
6 BAG in 1 CARTON / 200 mL in 1 BAG

* 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 0409-4688-18 identifies a specific commercial package of 24 bag in 1 case / 100 ml in 1 bag (0409-4688-22) of Fluconazole, labeled by Hospira, Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Hospira, Inc. on July 29, 2004. The current certification is valid through February 01, 2016.

What are the primary indications for this medication?

Fluconazole is used to treat vaginal yeast infections. It works by stopping the growth of common types of vaginal yeast (fungus). This medication belongs to a class of drugs called azole antifungals.

How is this Hospira, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00409468818. 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)
0409-4688-18
11-Digit CMS (5-4-2)
00409-4688-18

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