Kit For The Preparation Of Technetium Tc 99m Pentetate Injection
NDC Package 45567-0010-2

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.

Kit For The Preparation Of Technetium Tc 99m Pentetate Injection is a . Marketed by Pharmalucence, Inc., this product is identified by NDC 45567-0010 and is authorized under FDA application NDA017714.

Identification & Billing

NDC Package Code
45567-0010-2
Package Description
30 VIAL in 1 KIT / 10 mL in 1 VIAL
Product Code
45567-0010
11-Digit Billing Format
45567001002

Clinical Specifications

Proprietary Name
Kit For The Preparation Of Technetium Tc 99m Pentetate Injection
Dosage Form
-

Regulatory & Marketing

Labeler Name
Pharmalucence, Inc.
FDA Application #
NDA017714
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
11-16-1976
End Marketing Date
08-02-2010
Listing Expiration
08-02-2010
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 (45567-0010). Click a package code to view its specific billing and regulatory data.

45567-0010-1
5 VIAL in 1 KIT / 10 mL in 1 VIAL

* 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 45567-0010-2 identifies a specific commercial package of 30 vial in 1 kit / 10 ml in 1 vial of Kit For The Preparation Of Technetium Tc 99m Pentetate Injection, labeled by Pharmalucence, 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 Pharmalucence, Inc. on November 16, 1976. The current certification is valid through August 02, 2010.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 45567001002. 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 (5-4-1)
45567-0010-2
11-Digit CMS (5-4-2)
45567-0010-02

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