Lisinopril And Hydrochlorothiazide
NDC Package 54458-921-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Lisinopril And Hydrochlorothiazide is a . Marketed by International Laboratories, Llc, this product is identified by NDC 54458-921 and is authorized under FDA application ANDA077912.

Identification & Billing

NDC Package Code
54458-921-05
Package Description
360 TABLET in 1 CARTON
Product Code
54458-921
11-Digit Billing Format
54458092105

Clinical Specifications

Proprietary Name
Lisinopril And Hydrochlorothiazide
Dosage Form
-

Regulatory & Marketing

Labeler Name
International Laboratories, Llc
FDA Application #
ANDA077912
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
10-15-2010
End Marketing Date
10-31-2018
Listing Expiration
10-31-2018
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 54458-921-05 identifies a specific commercial package of 360 tablet in 1 carton of Lisinopril And Hydrochlorothiazide, labeled by International 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 International Laboratories, Llc on October 15, 2010. The current certification is valid through October 31, 2018.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54458092105. 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)
54458-921-05
11-Digit CMS (5-4-2)
54458-0921-05

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