Disulfiram Tablet
NDC Package 47781-607-30

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

Disulfiram tablets is a medication used along with counseling and support to treat alcoholism. This formulation utilizes a tablet delivery system. Marketed by Alvogen Inc., this product is identified by NDC 47781-607 and is authorized under FDA application ANDA091681.

Identification & Billing

NDC Package Code
47781-607-30
Package Description
30 TABLET in 1 BOTTLE, PLASTIC
Product Code
47781-607
11-Digit Billing Format
47781060730
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA
RxNorm Crosswalk
RxCUI: 197623 - disulfiram 250 MG Oral Tablet

Clinical Specifications

Proprietary Name
Disulfiram
Non-Proprietary Name
Disulfiram
Substance Name
Disulfiram
Dosage Form
Tablet - A solid dosage form containing medicinal substances with or without suitable diluents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
DISULFIRAM 250 mg/1
Pharmacologic Class
Usage Information
This medication is used along with counseling and support to treat alcoholism. Disulfiram works by blocking the processing of alcohol in the body. This causes you to have a bad reaction when you drink alcohol.

Regulatory & Marketing

Labeler Name
Alvogen Inc.
Product Type
Human Prescription Drug
FDA Application #
ANDA091681
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-09-2013
Listing Expiration
12-31-2026
Exclude Flag
N
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 (47781-607). Click a package code to view its specific billing and regulatory data.

47781-607-01
100 TABLET in 1 BOTTLE

* 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 47781-607-30 identifies a specific commercial package of 30 tablet in 1 bottle, plastic of Disulfiram, a human prescription drug labeled by Alvogen Inc.. This tablet is formulated for oral use and contains disulfiram as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Alvogen Inc. on August 09, 2013. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used along with counseling and support to treat alcoholism. Disulfiram works by blocking the processing of alcohol in the body. This causes you to have a bad reaction when you drink alcohol.

How is this Alvogen Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 47781060730. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. 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)
47781-607-30
11-Digit CMS (5-4-2)
47781-0607-30

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