Sodium Iodide I 123 Capsule, Gelatin Coated
NDC Package 48815-1002-5

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

Sodium Iodide I 123 capsules is to date there are no known contraindications to the use of Sodium Iodide I 123 capsules. This formulation utilizes a capsule, gelatin coated delivery system. Marketed by Cardinal Health 418, Inc, this product is identified by NDC 48815-1002 and is authorized under FDA application NDA018671.

Identification & Billing

NDC Package Code
48815-1002-5
Package Description
1 VIAL, PLASTIC in 1 CAN / 5 CAPSULE, GELATIN COATED in 1 VIAL, PLASTIC
Product Code
48815-1002
11-Digit Billing Format
48815100205
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA

Clinical Specifications

Proprietary Name
Sodium Iodide I 123
Non-Proprietary Name
Sodium Iodide I 123
Substance Name
Sodium Iodide I-123
Dosage Form
Capsule, Gelatin Coated - A solid dosage form in which the drug is enclosed within either a hard or soft soluble container made from a suitable form of gelatin; through a banding process, the capsule is coated with additional layers of gelatin so as to form a complete seal.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
SODIUM IODIDE I-123 200 uCi/1
Usage Information
To date there are no known contraindications to the use of Sodium Iodide I 123 capsules.

Regulatory & Marketing

Labeler Name
Cardinal Health 418, Inc
Product Type
Human Prescription Drug
FDA Application #
NDA018671
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
01-02-2003
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 (48815-1002). Click a package code to view its specific billing and regulatory data.

48815-1002-1
1 VIAL, PLASTIC in 1 CAN / 1 CAPSULE, GELATIN COATED in 1 VIAL, PLASTIC

* 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 48815-1002-5 identifies a specific commercial package of 1 vial, plastic in 1 can / 5 capsule, gelatin coated in 1 vial, plastic of Sodium Iodide I 123, a human prescription drug labeled by Cardinal Health 418, Inc. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This capsule, gelatin coated is formulated for oral use and contains sodium iodide i-123 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 Cardinal Health 418, Inc on January 02, 2003. The current certification is valid through December 31, 2026.

How is this Cardinal Health 418, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 48815100205. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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 (5-4-1)
48815-1002-5
11-Digit CMS (5-4-2)
48815-1002-05

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