Sumavel Dosepro
NDC Package 43376-104-06

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Sumavel Dosepro is indicated in adults for (1) the acute treatment of migraine, with or without aura, and (2) the acute treatment of cluster headache. Marketed by Zogenix, Inc., this product is identified by NDC 43376-104 and is authorized under FDA application NDA022239.

Identification & Billing

NDC Package Code
43376-104-06
Package Description
6 SYRINGE, GLASS in 1 CARTON / .5 mL in 1 SYRINGE, GLASS
Product Code
11-Digit Billing Format
43376010406
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Sumavel Dosepro
Dosage Form
-
Usage Information
Sumavel DosePro is indicated in adults for (1) the acute treatment of migraine, with or without aura, and (2) the acute treatment of cluster headache. Limitations of Use: Use only if a clear diagnosis of migraine or cluster headache has been established. If a patient has no response to the first migraine attack treated with Sumavel DosePro, reconsider the diagnosis of migraine before Sumavel DosePro is administered to treat any subsequent attacks. Sumavel DosePro is not indicated for the prevention of migraine attacks.

Regulatory & Marketing

Labeler Name
Zogenix, Inc.
FDA Application #
NDA022239
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
12-04-2013
Listing Expiration
12-31-2017
Exclude Flag
I
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 (43376-104). Click a package code to view its specific billing and regulatory data.

1 SYRINGE, GLASS in 1 CARTON / .5 mL in 1 SYRINGE, GLASS
1 SYRINGE, GLASS in 1 CARTON / .5 mL in 1 SYRINGE, GLASS
4 SYRINGE, GLASS in 1 CARTON / .5 mL in 1 SYRINGE, GLASS

* 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 43376-104-06 identifies a specific commercial package of 6 syringe, glass in 1 carton / .5 ml in 1 syringe, glass of Sumavel Dosepro, labeled by Zogenix, Inc.. 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 Zogenix, Inc. on December 04, 2013. The current certification is valid through December 31, 2017.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43376010406. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
43376-104-06
11-Digit CMS (5-4-2)
43376-0104-06

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