Sodium Sulfacetamide, Sulfur
NDC Package 42792-103-01

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.

Sodium Sulfacetamide, Sulfur is a . Marketed by Austin Pharmaceuticals, Llc, this product is identified by NDC 42792-103.

Identification & Billing

NDC Package Code
42792-103-01
Package Description
28 g in 1 BOTTLE
Product Code
42792-103
11-Digit Billing Format
42792010301
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
28 GM

Clinical Specifications

Proprietary Name
Sodium Sulfacetamide, Sulfur
Dosage Form
-

Regulatory & Marketing

Labeler Name
Austin Pharmaceuticals, Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-30-2011
End Marketing Date
06-30-2015
Listing Expiration
06-30-2015
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 42792-103-01 identifies a specific commercial package of 28 g in 1 bottle of Sodium Sulfacetamide, Sulfur, labeled by Austin Pharmaceuticals, Llc. This product is billed per "GM" gram and contains an estimated amount of 28 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 Austin Pharmaceuticals, Llc on April 30, 2011. The current certification is valid through June 30, 2015.

How is this Austin Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42792010301. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 28 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)
42792-103-01
11-Digit CMS (5-4-2)
42792-0103-01

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