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  5. NDC Package Code: 0173-0449-02 Imitrex

NDC Package 0173-0449-02 Imitrex

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:
0173-0449-02
Package Description:
5 VIAL in 1 CARTON / .5 mL in 1 VIAL
Product Code:
0173-0449
Proprietary Name:
Imitrex
Usage Information:
Sumatriptan is used to treat migraines. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Sumatriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Sumatriptan does not prevent future migraines or lessen how often you get migraine attacks.
11-Digit NDC Billing Format:
00173044902
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Labeler Name:
Glaxosmithkline Llc
Sample Package:
No
FDA Application Number:
NDA020080
Marketing Category:
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date:
02-23-1993
End Marketing Date:
12-29-2021
Listing Expiration Date:
12-29-2021
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 0173-0449-02 HCPCS crosswalk information with package details and bill units information.

NDC Billing CodeHCPCS CodeHCPCS Code Desc.DosagePackage SizePackage QuantityBillable UnitsBillable Units / Pkg
00173044902J3030INJECTION, SUMATRIPTAN SUCCINATE, 6 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN, NOT FOR USE WHEN DRUG IS SELF ADMINISTERED)6 MG0.5ML

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 0173-0449-02?

The NDC Packaged Code 0173-0449-02 is assigned to a package of 5 vial in 1 carton / .5 ml in 1 vial of Imitrex, labeled by Glaxosmithkline Llc. The product's dosage form is and is administered via form.

Is NDC 0173-0449 included in the NDC Directory?

No, Imitrex with product code 0173-0449 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Glaxosmithkline Llc on February 23, 1993 and its listing in the NDC Directory is set to expire on December 29, 2021 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 0173-0449-02?

The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

What is the 11-digit format for NDC 0173-0449-02?

The 11-digit format is 00173044902. 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
4-4-20173-0449-025-4-200173-0449-02