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  5. NDC Package Code: 0023-5904-12 Trelstar

NDC Package 0023-5904-12 Trelstar

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. NDC HCPCS Crosswalk
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

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:
0023-5904-12
Package Description:
1 KIT in 1 CARTON * 2 mL in 1 VIAL, SINGLE-DOSE * 2 mL in 1 SYRINGE
Product Code:
0023-5904
Proprietary Name:
Trelstar
Usage Information:
Triptorelin is used to treat advanced prostate cancer in men. It is not a cure. Most types of prostate cancer need the male hormone testosterone to grow and spread. Triptorelin works by reducing the amount of testosterone that the body makes. This effect helps slow or stop the growth of cancer cells and helps relieve symptoms such as painful/difficult urination. This medication is similar to a natural substance made by the body (luteinizing hormone releasing hormone-LHRH). Talk to your doctor about the risks and benefits of treatment.
11-Digit NDC Billing Format:
00023590412
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Labeler Name:
Allergan, Inc.
Sample Package:
No
FDA Application Number:
NDA021288
Marketing Category:
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date:
06-29-2001
End Marketing Date:
12-31-2021
Listing Expiration Date:
12-31-2021
Exclude Flag:
D
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.

NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 0023-5904-12 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00023590412J3315INJECTION, TRIPTORELIN PAMOATE, 3.75 MG3.75 MG1EA

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0023-5904-12?

The NDC Packaged Code 0023-5904-12 is assigned to a package of 1 kit in 1 carton * 2 ml in 1 vial, single-dose * 2 ml in 1 syringe of Trelstar, labeled by Allergan, Inc.. The product's dosage form is and is administered via form.

Is NDC 0023-5904 included in the NDC Directory?

No, Trelstar with product code 0023-5904 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Allergan, Inc. on June 29, 2001 and its listing in the NDC Directory is set to expire on December 31, 2021 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0023-5904-12?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units.

What is the 11-digit format for NDC 0023-5904-12?

The 11-digit format is 00023590412. 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 4-4-2 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
4-4-20023-5904-125-4-200023-5904-12