NDC Package 21695-982-10 Proctofoam HC

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:

21695-982-10

Package Description:

1 CONTAINER in 1 CARTON / 10 g in 1 CONTAINER

Product Code:

21695-982

Proprietary Name:

Proctofoam HC

Usage Information:

Proctofoam®-HC is indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses of the anal region.

11-Digit NDC Billing Format:

21695098210

Billing Unit:

GM - Billing unit of "gram" is used when a product is measured by its weight.

NDC to RxNorm Crosswalk:

10 GM

NDC to RxNorm Crosswalk:

RxCUI: 828362 - hydrocortisone acetate 1 % / pramoxine HCl 1 % Rectal Foam
RxCUI: 828362 - hydrocortisone acetate 10 MG/ML / pramoxine hydrochloride 10 MG/ML Rectal Foam
RxCUI: 828362 - hydrocortisone acetate 1 % / pramoxine hydrochloride 1 % Rectal Foam
RxCUI: 828364 - proctofoam-HC 1 % / 1 % Rectal Foam
RxCUI: 828364 - hydrocortisone acetate 10 MG/ML / pramoxine hydrochloride 10 MG/ML Rectal Foam [Proctofoam-HC]

Labeler Name:

Rebel Distributors Corp

Sample Package:

FDA Application Number:

ANDA086195

Marketing Category:

ANDA - A product marketed under an approved Abbreviated New Drug Application.

Start Marketing Date:

07-26-1978

Listing Expiration Date:

12-31-2017

Exclude Flag:

Code Structure:

21695 - Rebel Distributors Corp
- 21695-982 - Proctofoam
  - 21695-982-10 - 1 CONTAINER in 1 CARTON / 10 g in 1 CONTAINER

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 21695-982-10?

The NDC Packaged Code 21695-982-10 is assigned to a package of 1 container in 1 carton / 10 g in 1 container of Proctofoam HC, labeled by Rebel Distributors Corp. The product's dosage form is and is administered via form.This product is billed per "GM" gram and contains an estimated amount of 10 billable units per package.

Is NDC 21695-982 included in the NDC Directory?

No, Proctofoam HC with product code 21695-982 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 July 26, 1978 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 21695-982-10?

The contents of this package are billed per "gm or gram", products billed per gram are products measured by weight. The calculated billable units for this package is 10.

What is the 11-digit format for NDC 21695-982-10?

The 11-digit format is 21695098210. 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	21695-982-10	5-4-2	21695-0982-10

Table of Contents