Acid Controller Complete
NDC Package 21130-321-71

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

Package Information

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

Acid Controller Complete is a . Marketed by Safeway, this product is identified by NDC 21130-321 and is authorized under FDA application ANDA077355.

Identification & Billing

NDC Package Code
21130-321-71
Package Description
50 TABLET, CHEWABLE in 1 BOTTLE
Product Code
21130-321
11-Digit Billing Format
21130032171

Clinical Specifications

Proprietary Name
Acid Controller Complete
Dosage Form
-

Regulatory & Marketing

Labeler Name
Safeway
FDA Application #
ANDA077355
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-06-2008
End Marketing Date
01-19-2017
Listing Expiration
01-19-2017
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (21130-321). Click a package code to view its specific billing and regulatory data.

21130-321-63
25 TABLET, CHEWABLE in 1 BOTTLE

* 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 21130-321-71 identifies a specific commercial package of 50 tablet, chewable in 1 bottle of Acid Controller Complete, labeled by Safeway. 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 Safeway on August 06, 2008. The current certification is valid through January 19, 2017.

How is this Safeway product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130032171. 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)
21130-321-71
11-Digit CMS (5-4-2)
21130-0321-71

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