Delyla
NDC Package 51660-572-86
Package Information
Delyla is indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception.Oral contraceptives are highly effective. Marketed by Ohm Laboratories Inc., this product is identified by NDC 51660-572 and is authorized under FDA application ANDA201108.
Identification & Billing
- RxCUI: 1538130 - {21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG Oral Tablet) } Pack [Delyla 28 Day]
- RxCUI: 1538130 - Delyla 28 Day Pack
- RxCUI: 242297 - levonorgestrel 0.1 MG / ethinyl estradiol 0.02 MG Oral Tablet
- RxCUI: 242297 - ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet
- RxCUI: 748797 - inert 1 MG Oral Tablet
Clinical Specifications
Regulatory & Marketing
Hierarchy Structure
- 51660 - Ohm Laboratories Inc.
- 51660-572 - Delyla
- 51660-572-86 - 1 KIT in 1 CARTON * 7 TABLET, FILM COATED in 1 BLISTER PACK * 21 TABLET, FILM COATED in 1 BLISTER PACK
- 51660-572 - Delyla
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 51660-572-86 identifies a specific commercial package of 1 kit in 1 carton * 7 tablet, film coated in 1 blister pack * 21 tablet, film coated in 1 blister pack of Delyla, labeled by Ohm Laboratories 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 Ohm Laboratories Inc. on May 26, 2014. The current certification is valid through December 31, 2017.
How is this Ohm Laboratories Inc. product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 51660057286. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. 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:
Note: The zero is added to the Product segment to maintain the 5-4-2 structure.