Rectiv
NDC Package 42747-235-30

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.

Rectiv is nitroglycerin ointment is used to treat moderate to severe pain caused by long-term tears in the lining of the anus (anal fissures). Marketed by Prostrakan, Inc., this product is identified by NDC 42747-235 and is authorized under FDA application NDA021359.

Identification & Billing

NDC Package Code
42747-235-30
Package Description
1 TUBE in 1 CARTON / 30 g in 1 TUBE
Product Code
42747-235
11-Digit Billing Format
42747023530
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
30 GM

Clinical Specifications

Proprietary Name
Rectiv
Dosage Form
-
Usage Information
Nitroglycerin ointment is used to treat moderate to severe pain caused by long-term tears in the lining of the anus (anal fissures). This medication works by relaxing the muscles around the blood vessels which reduces pressure inside the anus and relieves pain. Nitroglycerin belongs to a class of drugs known as nitrates.

Regulatory & Marketing

Labeler Name
Prostrakan, Inc.
FDA Application #
NDA021359
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
06-21-2011
End Marketing Date
01-24-2022
Listing Expiration
01-24-2022
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 42747-235-30 identifies a specific commercial package of 1 tube in 1 carton / 30 g in 1 tube of Rectiv, labeled by Prostrakan, Inc.. This product is billed per "GM" gram and contains an estimated amount of 30 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 Prostrakan, Inc. on June 21, 2011. The current certification is valid through January 24, 2022.

What are the primary indications for this medication?

Nitroglycerin ointment is used to treat moderate to severe pain caused by long-term tears in the lining of the anus (anal fissures). This medication works by relaxing the muscles around the blood vessels which reduces pressure inside the anus and relieves pain. Nitroglycerin belongs to a class of drugs known as nitrates.

How is this Prostrakan, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42747023530. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 30 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)
42747-235-30
11-Digit CMS (5-4-2)
42747-0235-30

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