Kids Strawberry Ftp
NDC Package 21130-417-79

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.

Kids Strawberry Ftp is a . Marketed by Albertsons, this product is identified by NDC 21130-417 and is authorized under FDA application M021.

Identification & Billing

NDC Package Code
21130-417-79
Package Description
119 g in 1 TUBE
Product Code
21130-417
11-Digit Billing Format
21130041779

Clinical Specifications

Proprietary Name
Kids Strawberry Ftp
Dosage Form
-

Regulatory & Marketing

Labeler Name
Albertsons
FDA Application #
M021
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-31-2019
End Marketing Date
01-16-2024
Listing Expiration
01-16-2024
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 21130-417-79 identifies a specific commercial package of 119 g in 1 tube of Kids Strawberry Ftp, labeled by Albertsons. 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 Albertsons on October 31, 2019. The current certification is valid through January 16, 2024.

How is this Albertsons product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130041779. 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)
21130-417-79
11-Digit CMS (5-4-2)
21130-0417-79

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