Dermagesic
NDC Package 54859-201-04

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.

Dermagesic is a . Marketed by Llorens Pharmaceuticals International Division, this product is identified by NDC 54859-201.

Identification & Billing

NDC Package Code
54859-201-04
Package Description
118 mL in 1 BOTTLE
Product Code
54859-201
11-Digit Billing Format
54859020104
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
118 ML

Clinical Specifications

Proprietary Name
Dermagesic
Dosage Form
-

Regulatory & Marketing

Labeler Name
Llorens Pharmaceuticals International Division
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
02-01-2009
End Marketing Date
01-20-2014
Listing Expiration
01-20-2014
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 54859-201-04 identifies a specific commercial package of 118 ml in 1 bottle of Dermagesic, labeled by Llorens Pharmaceuticals International Division. This product is billed per "ML" milliliter and contains an estimated amount of 118 billable units per package. 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 Llorens Pharmaceuticals International Division on February 01, 2009. The current certification is valid through January 20, 2014.

How is this Llorens Pharmaceuticals International Division product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54859020104. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 118 total billable units per package. 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)
54859-201-04
11-Digit CMS (5-4-2)
54859-0201-04

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