Fortolin
NDC Package 51467-127-24

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.

Fortolin is a . Marketed by Fortune Pharmacal Company, Limited, this product is identified by NDC 51467-127 and is authorized under FDA application part343.

Identification & Billing

NDC Package Code
51467-127-24
Package Description
24 TABLET in 1 PACKAGE
Product Code
11-Digit Billing Format
51467012724
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Fortolin
Dosage Form
-

Regulatory & Marketing

Labeler Name
Fortune Pharmacal Company, Limited
FDA Application #
part343
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
03-01-2004
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 51467-127-24 identifies a specific commercial package of 24 tablet in 1 package of Fortolin, labeled by Fortune Pharmacal Company, Limited. 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 Fortune Pharmacal Company, Limited on March 01, 2004. The current certification is valid through December 31, 2017.

How is this Fortune Pharmacal Company, Limited product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51467012724. 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)
51467-127-24
11-Digit CMS (5-4-2)
51467-0127-24

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