Fluoxetine Hcl Powder
NDC Package 17205-612-00

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 an UNFINISHED DRUG part of the official NDC directory. Unfinished drugs include products like active ingredients some of which are used in bulk for further processing or compounding. The FDA requires a list of these drugs manufactured in a U.S. commercial distribution facility.

Fluoxetine Hcl powders is this long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. This formulation utilizes a powder delivery system. Marketed by Siegfried Ag, this product is identified by NDC 17205-612.

Identification & Billing

NDC Package Code
17205-612-00
Package Description
25 kg in 1 DRUM
Product Code
17205-612
11-Digit Billing Format
17205061200

Clinical Specifications

Proprietary Name
Fluoxetine Hcl
Non-Proprietary Name
Fluoxetine Hcl
Substance Name
Fluoxetine Hydrochloride
Dosage Form
Powder - An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.
Active Ingredient(s)
FLUOXETINE HYDROCHLORIDE 1 kg/kg
Usage Information
This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living.

Regulatory & Marketing

Labeler Name
Siegfried Ag
Product Type
Bulk Ingredient
Marketing Category
BULK INGREDIENT - A category specifying that a product is marketed as a bulk ingredient.
Start Marketing Date
07-02-2008
Listing Expiration
12-31-2026
Exclude Flag
N
Unfinished Product
Yes
Sample Package
N/A

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 17205-612-00 identifies a specific commercial package of 25 kg in 1 drum of Fluoxetine Hcl (UNFINISHED drug), a bulk ingredient labeled by Siegfried Ag. This powder is formulated for use and contains fluoxetine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Siegfried Ag on July 02, 2008. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This long-acting form of fluoxetine is used to treat depression in people who have been successfully treated with the form of fluoxetine that is taken daily. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI). SSRIs work by helping to restore the balance of certain natural substances in the brain (neurotransmitters such as serotonin). Fluoxetine may decrease anxiety, improve your mood, sleep, appetite, and energy level and may help restore your interest in daily living.

How is this Siegfried Ag product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17205061200. 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)
17205-612-00
11-Digit CMS (5-4-2)
17205-0612-00

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