Drytec (technetium Tc99m Generator)
NDC Package 17156-607-57

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.

Drytec (technetium Tc99m Generator) is a . Marketed by Medi-physics Inc., this product is identified by NDC 17156-607 and is authorized under FDA application NDA017693.

Identification & Billing

NDC Package Code
17156-607-57
Package Description
1 KIT in 1 CARTON * 1 mL in 1 APPLICATOR * 5 VIAL, GLASS in 1 BOX / 20 mL in 1 VIAL, GLASS
Product Code
17156-607
11-Digit Billing Format
17156060757

Clinical Specifications

Proprietary Name
Drytec (technetium Tc99m Generator)
Dosage Form
-

Regulatory & Marketing

Labeler Name
Medi-physics Inc.
FDA Application #
NDA017693
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
04-01-2014
End Marketing Date
01-10-2019
Listing Expiration
01-10-2019
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 17156-607-57 identifies a specific commercial package of 1 kit in 1 carton * 1 ml in 1 applicator * 5 vial, glass in 1 box / 20 ml in 1 vial, glass of Drytec (technetium Tc99m Generator), labeled by Medi-physics Inc.. 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 Medi-physics Inc. on April 01, 2014. The current certification is valid through January 10, 2019.

How is this Medi-physics Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17156060757. 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 (5-3-2)
17156-607-57
11-Digit CMS (5-4-2)
17156-0607-57

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