Prismasol
NDC Package 24571-101-05

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 discontinued by the firm.

Prismasol is a . Marketed by Gambro Renal Products, this product is identified by NDC 24571-101 and is authorized under FDA application NDA021703.

Identification & Billing

NDC Package Code
24571-101-05
Package Description
5 L in 1 BAG
Product Code
24571-101
11-Digit Billing Format
24571010105

Clinical Specifications

Proprietary Name
Prismasol
Dosage Form
-

Regulatory & Marketing

Labeler Name
Gambro Renal Products
FDA Application #
NDA021703
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
10-25-2006
End Marketing Date
12-28-2009
Listing Expiration
12-28-2009
Exclude Flag
D
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 24571-101-05 identifies a specific commercial package of 5 l in 1 bag of Prismasol, labeled by Gambro Renal Products. 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 Gambro Renal Products on October 25, 2006. The current certification is valid through December 28, 2009.

How is this Gambro Renal Products product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 24571010105. 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)
24571-101-05
11-Digit CMS (5-4-2)
24571-0101-05

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