Multrys Injection, Solution
NDC Package 0517-9302-25

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Multrys (trace elements injection 4) injection is multrys is indicated in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated. This formulation utilizes a injection, solution delivery system. Marketed by American Regent, Inc., this product is identified by NDC 0517-9302 and is authorized under FDA application NDA209376.

Identification & Billing

NDC Package Code
0517-9302-25
Package Description
25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE (0517-9302-01)
Product Code
0517-9302
11-Digit Billing Format
00517930225
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 2568573 - copper sulfate 150 MCG (copper 60 MCG) / manganese sulfate 8.22 MCG (manganese 3 MCG) / selenious acid 9.8 MCG (selenium 6 MCG) / zinc sulfate 2470 MCG (zinc 1000 MCG) in 1 ml Injection
  • RxCUI: 2568573 - 1 ML copper sulfate 0.15 MG/ML / manganese sulfate 0.00822 MG/ML / selenious acid 0.0098 MG/ML / zinc sulfate 2.47 MG/ML Injection
  • RxCUI: 2568573 - 1 ML copper sulfate 0.15 MG/ML / manganese sulfate 0.00822 MG/ML / selenious acid 0.0098 MG/ML / ZnSO4 2.47 MG/ML Injection
  • RxCUI: 2568579 - Multrys trace elements 4 in 1 ml Injection
  • RxCUI: 2568579 - 1 ML copper sulfate 0.15 MG/ML / manganese sulfate 0.00822 MG/ML / selenious acid 0.0098 MG/ML / zinc sulfate 2.47 MG/ML Injection [Multrys]

Clinical Specifications

Proprietary Name
Multrys
Non-Proprietary Name
Trace Elements Injection 4
Substance Name
Cupric Sulfate; Manganese Sulfate; Selenious Acid; Zinc Sulfate
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
Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Multrys is indicated in neonatal and pediatric patients weighing less than 10 kg as a source of zinc, copper, manganese, and selenium for parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or contraindicated.

Regulatory & Marketing

Labeler Name
American Regent, Inc.
Product Type
Human Prescription Drug
FDA Application #
NDA209376
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
09-01-2021
Listing Expiration
12-31-2026
Exclude Flag
N
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0517-9302-25 identifies a specific commercial package of 25 vial, single-dose in 1 tray / 1 ml in 1 vial, single-dose (0517-9302-01) of Multrys, a human prescription drug labeled by American Regent, Inc.. This injection, solution is formulated for intravenous use and contains cupric sulfate; manganese sulfate; selenious acid; zinc sulfate as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by American Regent, Inc. on September 01, 2021. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00517930225. 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)
0517-9302-25
11-Digit CMS (5-4-2)
00517-9302-25

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