24A (shaded top) NDC code Required if appropriate Enter N4 followed by the 11 digit NDC code
24B (shaded top) NDC Unit of measure Required if NDC code is present in 24A Enter appropriate 2 digit NDC unit of measure Valid values: F2 - International Unit GR – Gram ME - Milligram ML - Milliliter UN - Unit
24C-D (shaded top) NDC number of Units Required if NDC code is present in 24A Enter the actual metric decimal quantity (units) administered to the patient. If reporting a fraction of a unit, use the decimal point. Nine numbers may precede the decimal point and three numbers may follow the decimal.
24D (shaded top modifier section) NCD Unit Price Required if NDC code is present in 24A Enter unit price corresponding to NDC code.