Ventolinhfa
NDC Package 21695-423-08

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.

Ventolinhfa is vENTOLIN HFA is contraindicated in patients with a history of hypersensitivity to albuterol or any other components of VENTOLIN HFA. Marketed by Rebel Distributors Corp., this product is identified by NDC 21695-423 and is authorized under FDA application NDA020983.

Identification & Billing

NDC Package Code
21695-423-08
Package Description
60 AEROSOL, METERED in 1 INHALER
Product Code
21695-423
11-Digit Billing Format
21695042308
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
RxNorm Crosswalk
  • RxCUI: 801092 - albuterol 90 MCG/INHAL Metered Dose Inhaler, 60 ACTUAT, generic for Ventolin
  • RxCUI: 801092 - NDA020983 60 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler
  • RxCUI: 801092 - albuterol 0.09 MG/ACTUAT 60 ACTUAT Metered Dose Inhaler
  • RxCUI: 801092 - albuterol 90 MCG/ACTUAT (albuterol sulfate 108 MCG/ACTUAT from mouthpiece) 60 ACTUAT Metered Dose Inhaler
  • RxCUI: 801095 - Ventolin HFA 90 MCG/INHAL Metered Dose Inhaler, 60 Actuations

Clinical Specifications

Proprietary Name
Ventolinhfa Hfa
Dosage Form
-
Usage Information
VENTOLIN HFA is contraindicated in patients with a history of hypersensitivity to albuterol or any other components of VENTOLIN HFA. Rare cases of hypersensitivity reactions, including urticaria, angioedema, and rash have been reported after the use of albuterol sulfate.

Regulatory & Marketing

Labeler Name
Rebel Distributors Corp.
FDA Application #
NDA020983
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
06-09-2006
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 21695-423-08 identifies a specific commercial package of 60 aerosol, metered in 1 inhaler of Ventolinhfa Hfa, labeled by Rebel Distributors Corp.. 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 Corp. on June 09, 2006. The current certification is valid through December 31, 2017.

How is this Rebel Distributors Corp. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21695042308. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. 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)
21695-423-08
11-Digit CMS (5-4-2)
21695-0423-08

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