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  5. NDC Package Code: 21695-871-40 Relpax

NDC Package 21695-871-40 Relpax

View Billable Units, 11-Digit Format, RxNorm

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.

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:
21695-871-40
Package Description:
12 TABLET, FILM COATED in 1 BLISTER PACK
Product Code:
21695-871
Proprietary Name:
Relpax
Usage Information:
Eletriptan is used to treat migraines. It helps to relieve headache, pain, and other migraine symptoms (including nausea, vomiting, sensitivity to light/sound). Prompt treatment helps you return to your normal routine and may decrease your need for other pain medications. Eletriptan belongs to a class of drugs known as triptans. It affects a certain natural substance (serotonin) that causes narrowing of blood vessels in the brain. It may also relieve pain by affecting certain nerves in the brain. Eletriptan does not prevent future migraines or lessen how often you get migraine attacks.
11-Digit NDC Billing Format:
21695087140
NDC to RxNorm Crosswalk:
  • RxCUI: 359494 - eletriptan HBr 40 MG Oral Tablet
  • RxCUI: 359494 - eletriptan 40 MG Oral Tablet
  • RxCUI: 359494 - eletriptan 40 MG (as eletriptan HBr 48.5 MG) Oral Tablet
  • RxCUI: 404444 - RELPAX 40 MG Oral Tablet
  • RxCUI: 404444 - eletriptan 40 MG Oral Tablet [Relpax]
    • Labeler Name:
    Rebel Distributors Corp
    Sample Package:
    No
    Start Marketing Date:
    12-26-2002
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    Code Structure:

    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 21695-871-40?

    The NDC Packaged Code 21695-871-40 is assigned to a package of 12 tablet, film coated in 1 blister pack of Relpax, labeled by Rebel Distributors Corp. The product's dosage form is and is administered via form.

    Is NDC 21695-871 included in the NDC Directory?

    No, Relpax with product code 21695-871 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 December 26, 2002 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 11-digit format for NDC 21695-871-40?

    The 11-digit format is 21695087140. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-221695-871-405-4-221695-0871-40