Vitamin A D
NDC Package 21130-803-26

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.

Vitamin A D is a . Marketed by Lucerne North America Llc, this product is identified by NDC 21130-803 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
21130-803-26
Package Description
1 TUBE in 1 CARTON / 113 g in 1 TUBE
Product Code
21130-803
11-Digit Billing Format
21130080326

Clinical Specifications

Proprietary Name
Vitamin A D
Dosage Form
-

Regulatory & Marketing

Labeler Name
Lucerne North America Llc
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-12-2012
End Marketing Date
06-03-2020
Listing Expiration
06-03-2020
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 21130-803-26 identifies a specific commercial package of 1 tube in 1 carton / 113 g in 1 tube of Vitamin A D, labeled by Lucerne North America Llc. 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 Lucerne North America Llc on November 12, 2012. The current certification is valid through June 03, 2020.

How is this Lucerne North America Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130080326. 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)
21130-803-26
11-Digit CMS (5-4-2)
21130-0803-26

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