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  5. NDC Package Code: 0169-5174-01 Activella

NDC Package 0169-5174-01 Activella

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    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:
0169-5174-01
Package Description:
5 CARTON in 1 CELLO PACK / 1 DIALPACK in 1 CARTON / 28 TABLET, FILM COATED in 1 DIALPACK
Product Code:
0169-5174
Proprietary Name:
Activella
Usage Information:
This medication contains 2 female hormones: an estrogen (such as conjugated estrogen, estradiol) and a progestin (such as medroxyprogesterone, norethindrone, norgestimate). It is used by women to help reduce symptoms of menopause (such as hot flashes, vaginal dryness). These symptoms are caused by the body making less estrogen. The progestin in this medication helps to reduce the risk of cancer of the uterus which can be caused by using estrogen. Women who have had their uterus removed do not need the progestin and therefore should not use this combination medication. If you are using this medication to treat symptoms only in and around the vagina, products applied directly inside the vagina should be considered before medications that are taken by mouth, absorbed through the skin, or injected. This medication may also be used by women after menopause to prevent bone loss (osteoporosis). However, there are other medications (such as raloxifene, bisphosphonates including alendronate) that are also effective in preventing bone loss and may be safer. These medications should be considered for use before estrogen/progestin treatment.
11-Digit NDC Billing Format:
00169517401
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
5 EA
Labeler Name:
Novo Nordisk
Sample Package:
No
FDA Application Number:
NDA020907
Marketing Category:
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date:
07-22-2003
End Marketing Date:
10-31-2018
Listing Expiration Date:
10-31-2018
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.

Other Product Packages

The following packages are also available for this product:

NDC Package CodePackage Description
0169-5174-021 DIALPACK in 1 CARTON / 28 TABLET, FILM COATED in 1 DIALPACK

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0169-5174-01?

The NDC Packaged Code 0169-5174-01 is assigned to a package of 5 carton in 1 cello pack / 1 dialpack in 1 carton / 28 tablet, film coated in 1 dialpack of Activella, labeled by Novo Nordisk. The product's dosage form is and is administered via form.

Is NDC 0169-5174 included in the NDC Directory?

No, Activella with product code 0169-5174 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Novo Nordisk on July 22, 2003 and its listing in the NDC Directory is set to expire on October 31, 2018 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0169-5174-01?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 5.

What is the 11-digit format for NDC 0169-5174-01?

The 11-digit format is 00169517401. 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
4-4-20169-5174-015-4-200169-5174-01