Sulfatrim
NDC Package 17856-0007-2

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Sulfatrim is a medication a combination of two antibiotics: sulfamethoxazole and trimethoprim. Marketed by Atlantic Biologicals Corps, this product is identified by NDC 17856-0007 and is authorized under FDA application NDA018615.

Identification & Billing

NDC Package Code
17856-0007-2
Package Description
20 mL in 1 CUP
Product Code
11-Digit Billing Format
17856000702
RxNorm Crosswalk
  • RxCUI: 208406 - SULFATRIM 200 MG / 40 MG in 5 mL Oral Suspension
  • RxCUI: 208406 - sulfamethoxazole 40 MG/ML / trimethoprim 8 MG/ML Oral Suspension [Sulfatrim]
  • RxCUI: 208406 - SMX 40 MG/ML / TMP 8 MG/ML Oral Suspension [Sulfatrim]
  • RxCUI: 208406 - Sulfatrim (sulfamethoxazole 200 MG / trimethoprim 40 MG) per 5 ML Oral Suspension
  • RxCUI: 313134 - sulfamethoxazole 200 MG / trimethoprim 40 MG in 5 mL Oral Suspension

Clinical Specifications

Proprietary Name
Sulfatrim
Dosage Form
-
Usage Information
This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used in children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

Regulatory & Marketing

Labeler Name
Atlantic Biologicals Corps
FDA Application #
NDA018615
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
07-01-1983
Listing Expiration
12-31-2018
Exclude Flag
I
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (17856-0007). Click a package code to view its specific billing and regulatory data.

72 CUP in 1 BOX / 10 mL in 1 CUP
5 mL in 1 CUP

* 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 17856-0007-2 identifies a specific commercial package of 20 ml in 1 cup of Sulfatrim, labeled by Atlantic Biologicals Corps. 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 Atlantic Biologicals Corps on July 01, 1983. The current certification is valid through December 31, 2018.

What are the primary indications for this medication?

This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used in children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness.

How is this Atlantic Biologicals Corps product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17856000702. 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)
17856-0007-2
11-Digit CMS (5-4-2)
17856-0007-02

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