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  5. NDC Package Code: 0409-5921-01 Aminophylline

NDC Package 0409-5921-01 Aminophylline

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:
0409-5921-01
Package Description:
25 VIAL, SINGLE-DOSE in 1 TRAY / 10 mL in 1 VIAL, SINGLE-DOSE (0409-5921-16)
Product Code:
0409-5921
Proprietary Name:
Aminophylline
Non-Proprietary Name:
Aminophylline
Substance Name:
Aminophylline Dihydrate
Usage Information:
Intravenous theophylline is indicated as an adjunct to inhaled beta-2 selective agonists and systemically administered corticosteroids for the treatment of acute exacerbations of the symptoms and reversible airflow obstruction associated with asthma and other chronic lung diseases, e.g., emphysema and chronic bronchitis.
11-Digit NDC Billing Format:
00409592101
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 1724666 - aminophylline 500 MG in 20 ML Injection
  • RxCUI: 1724666 - 20 ML aminophylline 25 MG/ML Injection
  • RxCUI: 1724666 - aminophylline (as aminophylline dihydrate) 500 MG per 20 ML Injection
  • RxCUI: 1724666 - aminophylline 500 MG per 20 ML Injection
  • RxCUI: 1724668 - aminophylline 250 MG in 10 ML Injection
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Hospira, 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):
  • AMINOPHYLLINE DIHYDRATE 25 mg/mL
    • Pharmacologic Class(es):
  • Methylxanthine - [EPC] (Established Pharmacologic Class)
  • Xanthines - [CS]
    • Sample Package:
    No
    FDA Application Number:
    ANDA087242
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    05-10-2005
    Listing Expiration Date:
    12-31-2024
    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 0409-5921-01 HCPCS crosswalk information with package details and bill units information.

    NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
    00409592101J0280Aminophyllin 250 mg inj250 MG1025125

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0409-5921-01?

    The NDC Packaged Code 0409-5921-01 is assigned to a package of 25 vial, single-dose in 1 tray / 10 ml in 1 vial, single-dose (0409-5921-16) of Aminophylline, a human prescription drug labeled by Hospira, Inc.. The product's dosage form is injection, solution and is administered via intravenous form.

    Is NDC 0409-5921 included in the NDC Directory?

    Yes, Aminophylline with product code 0409-5921 is active and included in the NDC Directory. The product was first marketed by Hospira, Inc. on May 10, 2005 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0409-5921-01?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 0409-5921-01?

    The 11-digit format is 00409592101. 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
    4-4-20409-5921-015-4-200409-5921-01