Extraneal Injection, Solution
NDC Package 0941-0719-05

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

Package Information

This product is approaching its end of marketing date. An upcoming end of marketing date means the product has been delisted but will remain in the NDC database until the end of marketing date is reached. In most cases, the FDA advises firms to use the expiration date of the last lot produced as the end marketing date, reflecting the possibility that the product may still be available even after manufacturing has stopped.

Extraneal (icodextrin, sodium chloride, sodium lactate, calcium chloride, magnesium chloride) injection is classified as a

Identification & Billing

NDC Package Code
0941-0719-05
Package Description
5 BAG in 1 CARTON / 2000 mL in 1 BAG (0941-0719-01)
Product Code
0941-0719
11-Digit Billing Format
00941071905
RxNorm Crosswalk
  • RxCUI: 1100742 - calcium chloride 0.00232 MEQ/ML / icodextrin 75 MG/ML / magnesium chloride 0.000533 MEQ/ML / sodium chloride 0.0915 MEQ/ML / sodium lactate 0.04 MEQ/ML Injectable Solution
  • RxCUI: 1100742 - Calcium Chloride 0.00232 MEQ/ML / icodextrin 75 MG/ML / Magnesium Chloride 0.000533 MEQ/ML / NaCl 0.0915 MEQ/ML / Sodium Lactate 0.04 MEQ/ML Injectable Solution
  • RxCUI: 1100746 - Extraneal 0.00232 MEQ/mL / 75 MG/mL / 0.000533 MEQ/mL / 0.0915 MEQ/mL / 0.04 MEQ/mL Injectable Solution
  • RxCUI: 1100746 - calcium chloride 0.00232 MEQ/ML / icodextrin 75 MG/ML / magnesium chloride 0.000533 MEQ/ML / sodium chloride 0.0915 MEQ/ML / sodium lactate 0.04 MEQ/ML Injectable Solution [Extraneal]
  • RxCUI: 1100746 - Calcium Chloride 0.00232 MEQ/ML / icodextrin 75 MG/ML / Magnesium Chloride 0.000533 MEQ/ML / NaCl 0.0915 MEQ/ML / Sodium Lactate 0.04 MEQ/ML Injectable Solution [Extraneal]

Clinical Specifications

Proprietary Name
Extraneal
Non-Proprietary Name
Icodextrin, Sodium Chloride, Sodium Lactate, Calcium Chloride, Magnesium Chloride
Substance Name
Calcium Chloride; Icodextrin; Magnesium Chloride; Sodium Chloride; Sodium Lactate
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
Intraperitoneal - Administration within the peritoneal cavity.
Active Ingredient(s)
Pharmacologic Class

Regulatory & Marketing

Labeler Name
Vantive Us Healthcare Llc
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG FOR USE IN DRUG SHORTAGE -
Start Marketing Date
10-21-2024
End Marketing Date
08-31-2026
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 0941-0719-05 identifies a specific commercial package of 5 bag in 1 carton / 2000 ml in 1 bag (0941-0719-01) of Extraneal, a human prescription drug labeled by Vantive Us Healthcare Llc. This injection, solution is formulated for intraperitoneal use and contains calcium chloride; icodextrin; magnesium chloride; sodium chloride; sodium lactate 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 Vantive Us Healthcare Llc on October 21, 2024.

How is this Vantive Us Healthcare Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00941071905. 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)
0941-0719-05
11-Digit CMS (5-4-2)
00941-0719-05

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