Polibar Acb
NDC Package 32909-804-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Polibar Acb is a . Marketed by E-z-em Canada Inc, this product is identified by NDC 32909-804.

Identification & Billing

NDC Package Code
32909-804-01
Package Description
397 g in 1 BAG
Product Code
32909-804
11-Digit Billing Format
32909080401
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
397 GM

Clinical Specifications

Proprietary Name
Polibar Acb
Dosage Form
-

Regulatory & Marketing

Labeler Name
E-z-em Canada Inc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-15-1978
End Marketing Date
03-01-2016
Listing Expiration
03-01-2016
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (32909-804). Click a package code to view its specific billing and regulatory data.

32909-804-02
454 g in 1 BAG

* 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 32909-804-01 identifies a specific commercial package of 397 g in 1 bag of Polibar Acb, labeled by E-z-em Canada Inc. This product is billed per "GM" gram and contains an estimated amount of 397 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 E-z-em Canada Inc on April 15, 1978. The current certification is valid through March 01, 2016.

How is this E-z-em Canada Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 32909080401. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 397 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)
32909-804-01
11-Digit CMS (5-4-2)
32909-0804-01

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