Carafate
NDC Package 54868-3735-0

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.

Carafate is a medication used to treat ulcers in the intestines. Marketed by Physicians Total Care, Inc., this product is identified by NDC 54868-3735 and is authorized under FDA application NDA019183.

Identification & Billing

NDC Package Code
54868-3735-0
Package Description
414 mL in 1 BOTTLE
Product Code
11-Digit Billing Format
54868373500
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
414 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Carafate
Dosage Form
-
Usage Information
This medication is used to treat ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly.

Regulatory & Marketing

Labeler Name
Physicians Total Care, Inc.
FDA Application #
NDA019183
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
03-12-1996
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 54868-3735-0 identifies a specific commercial package of 414 ml in 1 bottle of Carafate, labeled by Physicians Total Care, Inc.. This product is billed per "ML" milliliter and contains an estimated amount of 414 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 Physicians Total Care, Inc. on March 12, 1996. The current certification is valid through December 31, 2017.

What are the primary indications for this medication?

This medication is used to treat ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly.

How is this Physicians Total Care, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54868373500. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 414 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 (5-4-1)
54868-3735-0
11-Digit CMS (5-4-2)
54868-3735-00

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