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  5. NDC Package Code: 14537-828-35 Additive Formula 3

NDC Package 14537-828-35 Additive Formula 3

Dextrose Monohydrate,Trisodium Citrate Dihydrate,Sodium Chloride,Sodium - 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:
14537-828-35
Package Description:
24 BAG in 1 CARTON / 350 mL in 1 BAG
Product Code:
14537-828
Proprietary Name:
Additive Formula 3
Non-Proprietary Name:
Dextrose Monohydrate, Trisodium Citrate Dihydrate, Sodium Chloride, Sodium Phosphate, Monobasic, Monohydrate, Citric Acid Monohydrate, And Adenine
Substance Name:
Adenine; Citric Acid Monohydrate; Dextrose Monohydrate; Sodium Chloride; Sodium Phosphate, Monobasic, Monohydrate; Trisodium Citrate Dihydrate
Usage Information:
Use only with Trima Accel red blood cell (RBC) apheresis collections. [See Dosage and Administration (2).]
11-Digit NDC Billing Format:
14537082835
Product Type:
Human Prescription Drug
Labeler Name:
Terumo Bct, Ltd
Dosage Form:
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route(s):
  • Intravenous - Administration within or into a vein or veins.
    • Active Ingredient(s):
  • ADENINE .03 g/100mL
  • CITRIC ACID MONOHYDRATE .042 g/100mL
  • DEXTROSE MONOHYDRATE 1.1 g/100mL
  • SODIUM CHLORIDE .41 g/100mL
  • SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE .28 g/100mL
  • TRISODIUM CITRATE DIHYDRATE .59 g/100mL
    • Pharmacologic Class(es):
  • Acidifying Activity - [MoA] (Mechanism of Action)
  • Acidifying Activity - [MoA] (Mechanism of Action)
  • Anti-coagulant - [EPC] (Established Pharmacologic Class)
  • Calcium Chelating Activity - [MoA] (Mechanism of Action)
  • Calculi Dissolution Agent - [EPC] (Established Pharmacologic Class)
  • Decreased Coagulation Factor Activity - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    BN001214
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    05-29-2002
    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 14537-828-35?

    The NDC Packaged Code 14537-828-35 is assigned to a package of 24 bag in 1 carton / 350 ml in 1 bag of Additive Formula 3, a human prescription drug labeled by Terumo Bct, Ltd. The product's dosage form is solution and is administered via intravenous form.

    Is NDC 14537-828 included in the NDC Directory?

    Yes, Additive Formula 3 with product code 14537-828 is active and included in the NDC Directory. The product was first marketed by Terumo Bct, Ltd on May 29, 2002 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 11-digit format for NDC 14537-828-35?

    The 11-digit format is 14537082835. 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 5-3-2 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
    5-3-214537-828-355-4-214537-0828-35