Azathioprine
NDC Package 21695-484-75

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.

Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. Marketed by Rebel Distributors Corp.., this product is identified by NDC 21695-484 and is authorized under FDA application ANDA077621.

Identification & Billing

NDC Package Code
21695-484-75
Package Description
75 TABLET in 1 BOTTLE
Product Code
21695-484
11-Digit Billing Format
21695048475
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
75 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Azathioprine
Dosage Form
-
Usage Information
Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used in children and young adults.

Regulatory & Marketing

Labeler Name
Rebel Distributors Corp..
FDA Application #
ANDA077621
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-11-2007
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 21695-484-75 identifies a specific commercial package of 75 tablet in 1 bottle of Azathioprine, labeled by Rebel Distributors Corp... This product is billed for "EA" each discreet unit and contains an estimated amount of 75 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 Corp.. on July 11, 2007. The current certification is valid through December 31, 2017.

What are the primary indications for this medication?

Azathioprine is used to prevent organ rejection in people who have received a kidney transplant. It is usually taken along with other medications to allow your new kidney to function normally. Azathioprine is also used to treat rheumatoid arthritis. In this condition, the body's defense system (immune system) attacks healthy joints. Azathioprine belongs to a class of drugs known as immunosuppressants. It works by weakening the immune system to help your body accept the new kidney as if it were your own (in the case of an organ transplant) or to prevent further damage to your joints (in the case of rheumatoid arthritis). Talk to your doctor about the risks and benefits of azathioprine, especially when used in children and young adults.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21695048475. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 75 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)
21695-484-75
11-Digit CMS (5-4-2)
21695-0484-75

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