Certa Dose Epinephrine Convenience Kit
NDC Package 71754-001-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Certa Dose Epinephrine Convenience Kit is adrenalin® is available as a single-use 1 mL vial for intramuscular and subcutaneous use.Emergency treatment of allergic reactions (Type I), including anaphylaxis, which may result from allergic reactions to insect stings, biting insects, foods, drugs, sera, diagnostic testing substances and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis. Marketed by Cd Acquisitions, Llc, this product is identified by NDC 71754-001 and is authorized under FDA application NDA204200.

Identification & Billing

NDC Package Code
71754-001-01
Package Description
1 KIT in 1 KIT * 1 mL in 1 VIAL (42023-159-01)
Product Code
71754-001
11-Digit Billing Format
71754000101
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Certa Dose Epinephrine Convenience Kit
Dosage Form
-
Usage Information
Adrenalin® is available as a single-use 1 mL vial for intramuscular and subcutaneous use.Emergency treatment of allergic reactions (Type I), including anaphylaxis, which may result from allergic reactions to insect stings, biting insects, foods, drugs, sera, diagnostic testing substances and other allergens, as well as idiopathic anaphylaxis or exercise-induced anaphylaxis. The signs and symptoms associated with anaphylaxis include flushing, apprehension, syncope, tachycardia, thready or unobtainable pulse associated with hypotension, convulsions, vomiting, diarrhea and abdominal cramps, involuntary voiding, airway swelling, laryngospasm, bronchospasm, pruritus, urticaria or angioedema, swelling of the eyelids, lips, and tongue.

Regulatory & Marketing

Labeler Name
Cd Acquisitions, Llc
FDA Application #
NDA204200
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
11-26-2018
Listing Expiration
12-31-2025
Exclude Flag
I
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.

Billing & HCPCS Mapping

To facilitate insurance claims and reimbursement, this drug package is mapped to specific HCPCS administrative codes. This crosswalk aligns clinical data with the billing standards used in ASP (Average Sales Price), AWP, and OPPS payment systems. Use the cards below to identify the correct billable units for provider claims.

J0169
Source: PDAC
INJECTION, EPINEPHRINE (ADRENALIN), NOT THERAPEUTICALLY EQUIVALENT TO J0165, 0.1 MG
HCPCS Dosage 0.1 MG
Units / Pkg

Note for Medical Coders: These mappings are synthesized from various CMS datasets including OPPS, PrEP, and DAC (Data Analysis and Coding) contractors. Always confirm unit conversions against the current quarter's pricing files before final submission.

* 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 (71754-001). Click a package code to view its specific billing and regulatory data.

71754-001-05
1 KIT in 1 KIT * 1 mL in 1 VIAL (42023-159-01)

* 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 71754-001-01 identifies a specific commercial package of 1 kit in 1 kit * 1 ml in 1 vial (42023-159-01) of Certa Dose Epinephrine Convenience Kit, labeled by Cd Acquisitions, Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Cd Acquisitions, Llc on November 26, 2018. The current certification is valid through December 31, 2025.

How is this Cd Acquisitions, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71754000101. 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 (5-3-2)
71754-001-01
11-Digit CMS (5-4-2)
71754-0001-01

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