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  5. NDC Package Code: 42794-086-14 Sodium Phenylbutyrate

NDC Package 42794-086-14 Sodium Phenylbutyrate

Powder Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

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:
42794-086-14
Package Description:
1 BOTTLE in 1 CARTON / 250 g in 1 BOTTLE
Product Code:
42794-086
Proprietary Name:
Sodium Phenylbutyrate
Non-Proprietary Name:
Sodium Phenylbutyrate
Substance Name:
Sodium Phenylbutyrate
Usage Information:
This medication is used along with diet changes for long-term treatment of a certain inherited disorder (urea cycle disorder). It helps remove a certain chemical (ammonia) from the body. Too much ammonia in the body can cause brain damage and sometimes death. This medication should not be used to treat sudden, severely high levels of ammonia in the body. Seek immediate medical attention if you have sudden symptoms of too much ammonia, such as trouble thinking, vomiting, irritability, trouble speaking, trouble walking, fainting.
11-Digit NDC Billing Format:
42794008614
Billing Unit:
GM - Billing unit of "gram" is used when a product is measured by its weight.
NDC to RxNorm Crosswalk:
250 GM
NDC to RxNorm Crosswalk:
  • RxCUI: 984105 - sodium phenylbutyrate 0.94 GM/GM Oral Powder
  • RxCUI: 984105 - sodium phenylbutyrate 0.94 MG/MG Oral Powder
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Sigmapharm Laboratories, Llc
    Dosage Form:
    Powder - An intimate mixture of dry, finely divided drugs and/or chemicals that may be intended for internal or external use.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • SODIUM PHENYLBUTYRATE .94 g/g
    • Pharmacologic Class(es):
  • Ammonium Ion Binding Activity - [MoA] (Mechanism of Action)
  • Nitrogen Binding Agent - [EPC] (Established Pharmacologic Class)
    • Sample Package:
    No
    FDA Application Number:
    ANDA202819
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    04-08-2013
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 42794-086-14?

    The NDC Packaged Code 42794-086-14 is assigned to a package of 1 bottle in 1 carton / 250 g in 1 bottle of Sodium Phenylbutyrate, a human prescription drug labeled by Sigmapharm Laboratories, Llc. The product's dosage form is powder and is administered via oral form.This product is billed per "GM" gram and contains an estimated amount of 250 billable units per package.

    Is NDC 42794-086 included in the NDC Directory?

    Yes, Sodium Phenylbutyrate with product code 42794-086 is active and included in the NDC Directory. The product was first marketed by Sigmapharm Laboratories, Llc on April 08, 2013 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 42794-086-14?

    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 250.

    What is the 11-digit format for NDC 42794-086-14?

    The 11-digit format is 42794008614. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-242794-086-145-4-242794-0086-14