Tetanus And Diphtheria Toxoids Adsorbed
NDC Package 21695-413-01

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.

Tetanus And Diphtheria Toxoids Adsorbed is massBiologics' Td is a vaccine indicated for active immunization for the prevention of tetanus and diphtheria.  This vaccine is approved for use in persons 7 years of age and older. Marketed by Rebel Distributors, this product is identified by NDC 21695-413 and is authorized under FDA application BLA101322.

Identification & Billing

NDC Package Code
21695-413-01
Package Description
.5 mL in 1 VIAL, SINGLE-DOSE
Product Code
21695-413
11-Digit Billing Format
21695041301
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
0.5 ML
RxNorm Crosswalk
  • RxCUI: 205259 - tetanus toxoid vaccine, inactivated 2 UNT / diphtheria toxoid vaccine, inactivated (Td) 2 UNT in 0.5 ML Injection
  • RxCUI: 205259 - 0.5 ML diphtheria toxoid vaccine, inactivated 4 UNT/ML / tetanus toxoid vaccine, inactivated 4 UNT/ML Injection
  • RxCUI: 205259 - tetanus toxoid vaccine, inactivated 2 UNT / diphtheria toxoid vaccine, inactivated 2 UNT per 0.5 ML Injection

Clinical Specifications

Proprietary Name
Tetanus And Diphtheria Toxoids Adsorbed
Dosage Form
-
Usage Information
MassBiologics' Td is a vaccine indicated for active immunization for the prevention of tetanus and diphtheria.  This vaccine is approved for use in persons 7 years of age and older.

Regulatory & Marketing

Labeler Name
Rebel Distributors
FDA Application #
BLA101322
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
10-13-1967
Listing Expiration
12-31-2017
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 21695-413-01 identifies a specific commercial package of .5 ml in 1 vial, single-dose of Tetanus And Diphtheria Toxoids Adsorbed, labeled by Rebel Distributors. This product is billed per "ML" milliliter and contains an estimated amount of 0.5 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 Rebel Distributors on October 13, 1967. The current certification is valid through December 31, 2017.

How is this Rebel Distributors product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21695041301. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 0.5 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 (5-3-2)
21695-413-01
11-Digit CMS (5-4-2)
21695-0413-01

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