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  5. NDC Package Code: 52096-001-12 Periochip

NDC Package 52096-001-12 Periochip

View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
52096-001-12
Package Description:
1 BLISTER PACK in 1 CARTON / 10 INSERT, EXTENDED RELEASE in 1 BLISTER PACK
Product Code:
52096-001
Proprietary Name:
Periochip
Usage Information:
PerioChip is indicated as an adjunct to scaling and root planing procedures for reduction of pocket depth in patients with adult periodontitis. PerioChip may be used as a part of a periodontal maintenance program, which includes good oral hygiene and scaling and root planing.
11-Digit NDC Billing Format:
52096000112
NDC to RxNorm Crosswalk:
  • RxCUI: 834146 - chlorhexidine gluconate 2.5 MG Periodontal Drug Implant
  • RxCUI: 834146 - chlorhexidine gluconate 2.5 MG Drug Implant
  • RxCUI: 834146 - chlorhexidine gluconate 2.5 MG Oromucosal Chip
  • RxCUI: 834148 - PerioChip 2.5 MG Periodontal Drug Implant
  • RxCUI: 834148 - chlorhexidine gluconate 2.5 MG Drug Implant [PerioChip]
    • Labeler Name:
    Adrian Pharmaceuticals, Llc
    Sample Package:
    No
    Start Marketing Date:
    05-01-1998
    Listing Expiration Date:
    12-31-2017
    Exclude Flag:
    I
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    52096-001-222 BLISTER PACK in 1 CARTON / 20 INSERT, EXTENDED RELEASE in 1 BLISTER PACK

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 52096-001-12?

    The NDC Packaged Code 52096-001-12 is assigned to a package of 1 blister pack in 1 carton / 10 insert, extended release in 1 blister pack of Periochip, labeled by Adrian Pharmaceuticals, Llc. The product's dosage form is and is administered via form.

    Is NDC 52096-001 included in the NDC Directory?

    No, Periochip with product code 52096-001 is excluded from the NDC Directory because it's listing has been INACTIVATED by FDA. The product was first marketed by Adrian Pharmaceuticals, Llc on May 01, 1998 and its listing in the NDC Directory is set to expire on December 31, 2017 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 52096-001-12?

    The 11-digit format is 52096000112. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-252096-001-125-4-252096-0001-12