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  5. NDC Package Code: 0517-9203-25 Multitrace -4 Pediatric

NDC Package 0517-9203-25 Multitrace -4 Pediatric

Trace Elements 4 Injection, Solution, Concentrate Intravenous - 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:
0517-9203-25
Package Description:
25 VIAL, SINGLE-DOSE in 1 TRAY / 3 mL in 1 VIAL, SINGLE-DOSE
Product Code:
0517-9203
Proprietary Name:
Multitrace -4 Pediatric
Non-Proprietary Name:
Trace Elements 4
Substance Name:
Chromic Chloride; Cupric Sulfate; Manganese Sulfate; Zinc Sulfate Heptahydrate
Usage Information:
This formulation is indicated for use as a supplement to intravenous solutions given for TPN for children up to 11 years of age. Administration of the solution in TPN solutions helps to maintain plasma levels of zinc, copper, manganese, and chromium and to prevent depletion of endogenous stores of these trace elements and subsequent deficiency symptoms.
11-Digit NDC Billing Format:
00517920325
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 1293464 - trace elements 4 pediatric Solution for Injection
  • RxCUI: 1293464 - chromic chloride 0.00512 MG/ML / copper sulfate 0.4 MG/ML / manganese sulfate 0.077 MG/ML / zinc sulfate 4.39 MG/ML Injectable Solution
  • RxCUI: 1293464 - chromic chloride 0.00512 MG/ML / Copper Sulfate 0.4 MG/ML / manganese sulfate 0.077 MG/ML / ZnSO4 4.39 MG/ML Injectable Solution
  • RxCUI: 1293464 - chromic chloride 5.12 MCG (chromium 1 MCG) / copper sulfate 0.4 MG (copper 0.1 MG) / manganese sulfate 77 MCG (manganese 25 MCG) / zinc sulfate 4.39 MG (zinc 1 MG) per 1 ML Injectable Solution
  • RxCUI: 1293466 - Multitrace-4 Pediatric Solution for Injection
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    American Regent, Inc.
    Dosage Form:
    Injection, Solution, Concentrate - A sterile preparation for parenteral use which, upon the addition of suitable solvents, yields a solution conforming in all respects to the requirements for Injections.
    Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • CHROMIC CHLORIDE 5.12 ug/mL
  • CUPRIC SULFATE .4 mg/mL
  • MANGANESE SULFATE 77 ug/mL
  • ZINC SULFATE HEPTAHYDRATE 4.39 mg/mL
    • Pharmacologic Class(es):
  • Copper Absorption Inhibitor - [EPC] (Established Pharmacologic Class)
  • Decreased Copper Ion Absorption - [PE] (Physiologic Effect)
  • Magnetic Resonance Contrast Activity - [MoA] (Mechanism of Action)
  • Paramagnetic Contrast Agent - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    Marketing Category:
    UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
    Start Marketing Date:
    12-09-1993
    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.

    Frequently Asked Questions

    What is NDC 0517-9203-25?

    The NDC Packaged Code 0517-9203-25 is assigned to a package of 25 vial, single-dose in 1 tray / 3 ml in 1 vial, single-dose of Multitrace -4 Pediatric, a human prescription drug labeled by American Regent, Inc.. The product's dosage form is injection, solution, concentrate and is administered via intravenous form.

    Is NDC 0517-9203 included in the NDC Directory?

    Yes, Multitrace -4 Pediatric with product code 0517-9203 is active and included in the NDC Directory. The product was first marketed by American Regent, Inc. on December 09, 1993 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 0517-9203-25?

    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 0517-9203-25?

    The 11-digit format is 00517920325. 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
    4-4-20517-9203-255-4-200517-9203-25