NDC Package 21695-795-72 Lovaza

View Billable Units, 11-Digit Format, RxNorm

Package Information
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

21695-795-72

Package Description:

120 CAPSULE, LIQUID FILLED in 1 BOTTLE

Product Code:

21695-795

Proprietary Name:

Lovaza

Usage Information:

Omega-3 acid ethyl esters, a type of fat found in fish oil, is used along with diet and exercise to help lower levels of a certain blood fat (triglyceride). It may also raise "good" cholesterol (HDL). In general, this drug is used after your blood fat levels have not been fully controlled by non-drug treatments (such as diet changes, exercise, decreasing alcohol intake, weight loss if overweight, controlling blood sugar if diabetic, and regulating your thyroid hormone levels). Lowering triglycerides and increasing "good" cholesterol may help decrease the risk for strokes and heart attacks. Omega-3 acid ethyl esters are thought to work by decreasing the amount of triglyceride the body makes.

11-Digit NDC Billing Format:

21695079572

Billing Unit:

EA - Billing unit of "each" is used when the product is dispensed in discreet units.

NDC to RxNorm Crosswalk:

120 EA

NDC to RxNorm Crosswalk:

RxCUI: 577208 - omega-3 acid ethyl esters 1 GM Oral Capsule

RxCUI: 577208 - omega-3 acid ethyl esters (USP) 1000 MG Oral Capsule

RxCUI: 577208 - omega-3 acid ethyl esters 1 GM (at least 900 MG) Oral Capsule

RxCUI: 607044 - Lovaza 1 GM Oral Capsule

RxCUI: 607044 - omega-3 acid ethyl esters (USP) 1000 MG Oral Capsule [Lovaza]

Labeler Name:

Rebel Distributors Corp

Sample Package:

Start Marketing Date:

10-21-2008

Listing Expiration Date:

12-31-2017

Exclude Flag:

Code Structure:

21695 - Rebel Distributors Corp
- 21695-795 - Lovaza
  - 21695-795-72 - 120 CAPSULE, LIQUID FILLED in 1 BOTTLE

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 disclaimer below.

Frequently Asked Questions

What is NDC 21695-795-72?

The NDC Packaged Code 21695-795-72 is assigned to a package of 120 capsule, liquid filled in 1 bottle of Lovaza, labeled by Rebel Distributors Corp. The product's dosage form is and is administered via form.This product is billed for "EA" each discreet unit and contains an estimated amount of 120 billable units per package.

Is NDC 21695-795 included in the NDC Directory?

No, Lovaza with product code 21695-795 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Rebel Distributors Corp on October 21, 2008 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

What is the NDC billing unit for package 21695-795-72?

The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 120.

What is the 11-digit format for NDC 21695-795-72?

The 11-digit format is 21695079572. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	21695-795-72	5-4-2	21695-0795-72

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