Equipto - Baclofen External Cream Compounding Kit
NDC Package 15455-0701-2

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

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

Equipto - Baclofen External Cream Compounding Kit is a . Marketed by Alvix Laboratories, Llc, this product is identified by NDC 15455-0701.

Identification & Billing

NDC Package Code
15455-0701-2
Package Description
1 KIT in 1 CARTON
Product Code
15455-0701
11-Digit Billing Format
15455070102
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.

Clinical Specifications

Proprietary Name
Equipto - Baclofen External Cream Compounding Kit
Dosage Form
-

Regulatory & Marketing

Labeler Name
Alvix Laboratories, Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
01-20-2015
End Marketing Date
03-08-2018
Listing Expiration
03-08-2018
Exclude Flag
D
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 15455-0701-2 identifies a specific commercial package of 1 kit in 1 carton of Equipto - Baclofen External Cream Compounding Kit, labeled by Alvix Laboratories, 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 Alvix Laboratories, Llc on January 20, 2015. The current certification is valid through March 08, 2018.

How is this Alvix Laboratories, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 15455070102. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. 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 (5-4-1)
15455-0701-2
11-Digit CMS (5-4-2)
15455-0701-02

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