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  5. NDC Package Code: 0409-7969-05 Plegisol

NDC Package 0409-7969-05 Plegisol

Potassium Chloride,Sodium Chloride,Calcium Chloride,And Magnesium Chloride Injection, - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. 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:
0409-7969-05
Package Description:
12 POUCH in 1 CASE / 1 BAG in 1 POUCH / 1000 mL in 1 BAG (0409-7969-11)
Product Code:
0409-7969
Proprietary Name:
Plegisol
Non-Proprietary Name:
Potassium Chloride, Sodium Chloride, Calcium Chloride, And Magnesium Chloride
Substance Name:
Calcium Chloride; Magnesium Chloride; Potassium Chloride; Sodium Chloride
Usage Information:
Plegisol (Cardioplegic Solution) when suitably buffered in combination with ischemia and hypothermia is used to induce cardiac arrest during open heart surgery.
11-Digit NDC Billing Format:
00409796905
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
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):
  • Intra-arterial - Administration within an artery or arteries.
    • Active Ingredient(s):
  • CALCIUM CHLORIDE 17.6 mg/100mL
  • MAGNESIUM CHLORIDE 325.3 mg/100mL
  • POTASSIUM CHLORIDE 119.3 mg/100mL
  • SODIUM CHLORIDE 643 mg/100mL
    • Pharmacologic Class(es):
  • Blood Coagulation Factor - [EPC] (Established Pharmacologic Class)
  • Calcium - [CS]
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Cations, Divalent - [CS]
  • Increased Coagulation Factor Activity - [PE] (Physiologic Effect)
  • Increased Large Intestinal Motility - [PE] (Physiologic Effect)
  • Inhibition Large Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Inhibition Small Intestine Fluid/Electrolyte Absorption - [PE] (Physiologic Effect)
  • Magnesium Ion Exchange Activity - [MoA] (Mechanism of Action)
  • Osmotic Activity - [MoA] (Mechanism of Action)
  • Osmotic Laxative - [EPC] (Established Pharmacologic Class)
  • Phosphate Binder - [EPC] (Established Pharmacologic Class)
  • Phosphate Chelating Activity - [MoA] (Mechanism of Action)
  • Potassium Compounds - [CS]
  • Potassium Salt - [EPC] (Established Pharmacologic Class)
  • Stimulation Large Intestine Fluid/Electrolyte Secretion - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    NDA018608
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    07-28-2005
    Listing Expiration Date:
    12-31-2025
    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.

    Frequently Asked Questions

    What is NDC 0409-7969-05?

    The NDC Packaged Code 0409-7969-05 is assigned to a package of 12 pouch in 1 case / 1 bag in 1 pouch / 1000 ml in 1 bag (0409-7969-11) of Plegisol, a human prescription drug labeled by Hospira, Inc.. The product's dosage form is injection, solution and is administered via intra-arterial form.

    Is NDC 0409-7969 included in the NDC Directory?

    Yes, Plegisol with product code 0409-7969 is active and included in the NDC Directory. The product was first marketed by Hospira, Inc. on July 28, 2005 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0409-7969-05?

    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 0409-7969-05?

    The 11-digit format is 00409796905. 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
    4-4-20409-7969-055-4-200409-7969-05