Helium Oxygen Mixture Gas
NDC Package 11054-032-01

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

Package Information

Helium Oxygen Mixture gases is a human prescription drug administered via respiratory (inhalation) route. This formulation utilizes a gas delivery system. Marketed by Airgas Usa, Llc, this product is identified by NDC 11054-032 and is authorized under FDA application NDA205843.

Identification & Billing

NDC Package Code
11054-032-01
Package Description
3539 L in 1 CYLINDER
Product Code
11054-032
11-Digit Billing Format
11054003201
RxNorm Crosswalk
RxCUI: 347048 - helium 70 % / oxygen 30 % Gas for Inhalation

Clinical Specifications

Proprietary Name
Helium Oxygen Mixture
Non-Proprietary Name
Helium Oxygen Mixture
Substance Name
Helium; Oxygen
Dosage Form
Gas - Any elastic aeriform fluid in which the molecules are separated from one another and so have free paths.
Administration Route
Respiratory (inhalation) - Administration within the respiratory tract by inhaling orally or nasally for local or systemic effect.
Active Ingredient(s)

Regulatory & Marketing

Labeler Name
Airgas Usa, Llc
Product Type
Human Prescription Drug
FDA Application #
NDA205843
Marketing Category
NDA AUTHORIZED GENERIC - A product marketed as a "generic" drug under an approved New Drug Application (NDA), rather than an Abbreviated New Drug Application (ANDA),.
Start Marketing Date
01-03-2012
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11054-032). Click a package code to view its specific billing and regulatory data.

11054-032-02
5663 L in 1 CYLINDER

* 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 11054-032-01 identifies a specific commercial package of 3539 l in 1 cylinder of Helium Oxygen Mixture, a human prescription drug labeled by Airgas Usa, Llc. This gas is formulated for respiratory (inhalation) use and contains helium; oxygen 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 Airgas Usa, Llc on January 03, 2012. The current certification is valid through December 31, 2026.

How is this Airgas Usa, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11054003201. 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 (5-3-2)
11054-032-01
11-Digit CMS (5-4-2)
11054-0032-01

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