Api Grade Perfluoropropance Gas
NDC Package 11054-150-01

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

This product is an UNFINISHED DRUG part of the official NDC directory. Unfinished drugs include products like active ingredients some of which are used in bulk for further processing or compounding. The FDA requires a list of these drugs manufactured in a U.S. commercial distribution facility.

Api Grade Perfluoropropance gases is a human prescription drug. This formulation utilizes a gas delivery system. Marketed by Airgas Usa, Llc, this product is identified by NDC 11054-150.

Identification & Billing

NDC Package Code
11054-150-01
Package Description
15 kg in 1 CYLINDER
Product Code
11054-150
11-Digit Billing Format
11054015001

Clinical Specifications

Proprietary Name
Api Grade Perfluoropropance
Non-Proprietary Name
Api Grade Perfluoropropance
Substance Name
Perflutren
Dosage Form
Gas - Any elastic aeriform fluid in which the molecules are separated from one another and so have free paths.
Active Ingredient(s)
PERFLUTREN 1 kg/kg

Regulatory & Marketing

Labeler Name
Airgas Usa, Llc
Product Type
Human Prescription Drug
Marketing Category
DRUG FOR FURTHER PROCESSING - A drug (other than the bulk ingredient API) that is in an interim stage of manufacture, processing, preparation, or packaging, and not ready for human or animal use.
Start Marketing Date
08-01-2018
Listing Expiration
12-31-2026
Exclude Flag
N
Unfinished Product
Yes
Sample Package
N/A

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 (11054-150). Click a package code to view its specific billing and regulatory data.

11054-150-02
30 kg 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 11054-150-01 identifies a specific commercial package of 15 kg in 1 cylinder of Api Grade Perfluoropropance (UNFINISHED drug), a human prescription drug labeled by Airgas Usa, Llc. This gas is formulated for use and contains perflutren 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 August 01, 2018. 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: 11054015001. 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)
11054-150-01
11-Digit CMS (5-4-2)
11054-0150-01

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