Allegra D 12 Hour Allergy And Congestion
NDC Package 21695-931-20

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.

Allegra D 12 Hour Allergy And Congestion is do not divide, crush, chew or dissolve the tablet; swallow tablet wholeadults and children 12 years of age and overtake 1 tablet with a glass of water every 12 hours on an empty stomach; do not take more than 2 tablets in 24 hourschildren under 12 years of agedo not useadults 65 years of age and olderask a doctorconsumers with kidney diseaseask a doctor. Marketed by Rebel Distributors Corp, this product is identified by NDC 21695-931 and is authorized under FDA application NDA020786.

Identification & Billing

NDC Package Code
21695-931-20
Package Description
4 BLISTER PACK in 1 CARTON / 5 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK
Product Code
21695-931
11-Digit Billing Format
21695093120
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
4 EA
RxNorm Crosswalk
  • RxCUI: 997406 - fexofenadine HCl 60 MG / pseudoephedrine HCl 120 MG 12HR Extended Release Oral Tablet
  • RxCUI: 997406 - 12 HR fexofenadine hydrochloride 60 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet
  • RxCUI: 997406 - fexofenadine hydrochloride 60 MG / pseudoephedrine hydrochloride 120 MG 12 HR Extended Release Oral Tablet
  • RxCUI: 997512 - Allegra-D 60 MG /120 MG 12HR Extended Release Oral Tablet
  • RxCUI: 997512 - 12 HR fexofenadine hydrochloride 60 MG / pseudoephedrine hydrochloride 120 MG Extended Release Oral Tablet [Allegra-D]

Clinical Specifications

Proprietary Name
Allegra D 12 Hour Allergy And Congestion
Dosage Form
-
Usage Information
Do not divide, crush, chew or dissolve the tablet; swallow tablet wholeadults and children 12 years of age and overtake 1 tablet with a glass of water every 12 hours on an empty stomach; do not take more than 2 tablets in 24 hourschildren under 12 years of agedo not useadults 65 years of age and olderask a doctorconsumers with kidney diseaseask a doctor

Regulatory & Marketing

Labeler Name
Rebel Distributors Corp
FDA Application #
NDA020786
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
03-03-2011
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 21695-931-20 identifies a specific commercial package of 4 blister pack in 1 carton / 5 tablet, film coated, extended release in 1 blister pack of Allegra D 12 Hour Allergy And Congestion, labeled by Rebel Distributors Corp. This product is billed for "EA" each discreet unit and contains an estimated amount of 4 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 March 03, 2011. 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: 21695093120. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 4 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)
21695-931-20
11-Digit CMS (5-4-2)
21695-0931-20

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