Diclofex Dc
NDC Package 51021-374-01

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 discontinued by the firm.

Diclofex Dc is a . Marketed by Sircle Laboratories, Llc, this product is identified by NDC 51021-374 and is authorized under FDA application ANDA204132.

Identification & Billing

NDC Package Code
51021-374-01
Package Description
1 KIT in 1 CARTON * 150 mL in 1 BOTTLE (51021-250-05) * 234 g in 1 BOTTLE, PLASTIC (64058-247-68)
Product Code
11-Digit Billing Format
51021037401
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.

Clinical Specifications

Proprietary Name
Diclofex Dc
Dosage Form
-

Regulatory & Marketing

Labeler Name
Sircle Laboratories, Llc
FDA Application #
ANDA204132
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
04-30-2016
End Marketing Date
05-07-2018
Listing Expiration
05-07-2018
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 51021-374-01 identifies a specific commercial package of 1 kit in 1 carton * 150 ml in 1 bottle (51021-250-05) * 234 g in 1 bottle, plastic (64058-247-68) of Diclofex Dc, labeled by Sircle Laboratories, Llc. 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 Sircle Laboratories, Llc on April 30, 2016. The current certification is valid through May 07, 2018.

How is this Sircle Laboratories, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51021037401. 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)
51021-374-01
11-Digit CMS (5-4-2)
51021-0374-01

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