Promethazine Hydrochloride And Codeine Phosphate
NDC Package 17856-0804-5

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 inactivated by the FDA.

Promethazine Hydrochloride And Codeine Phosphate is a . Marketed by Atlantic Biologicals Corps, this product is identified by NDC 17856-0804 and is authorized under FDA application ANDA040151.

Identification & Billing

NDC Package Code
17856-0804-5
Package Description
5 mL in 1 CUP
Product Code
17856-0804
11-Digit Billing Format
17856080405
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
5 ML

Clinical Specifications

Proprietary Name
Promethazine Hydrochloride And Codeine Phosphate
Dosage Form
-

Regulatory & Marketing

Labeler Name
Atlantic Biologicals Corps
FDA Application #
ANDA040151
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-26-1997
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 17856-0804-5 identifies a specific commercial package of 5 ml in 1 cup of Promethazine Hydrochloride And Codeine Phosphate, labeled by Atlantic Biologicals Corps. This product is billed per "ML" milliliter and contains an estimated amount of 5 billable units per package. 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 August 26, 1997. The current certification is valid through December 31, 2018.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17856080405. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 5 total billable units per package. 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)
17856-0804-5
11-Digit CMS (5-4-2)
17856-0804-05

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