Keralac
NDC Package 57883-401-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
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 discontinued by the firm.

Keralac is a . Marketed by Brava Pharmaceuticals, Llc, this product is identified by NDC 57883-401.

Identification & Billing

NDC Package Code
57883-401-05
Package Description
142 g in 1 BOTTLE, PLASTIC
Product Code
57883-401
11-Digit Billing Format
57883040105
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
142 GM

Clinical Specifications

Proprietary Name
Keralac
Dosage Form
-

Regulatory & Marketing

Labeler Name
Brava Pharmaceuticals, Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
07-01-2011
End Marketing Date
04-30-2021
Listing Expiration
04-30-2021
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (57883-401). Click a package code to view its specific billing and regulatory data.

57883-401-04
10 TUBE in 1 CARTON / 4 g in 1 TUBE
57883-401-10
9 BOTTLE, PLASTIC in 1 CARTON / 10 g in 1 BOTTLE, PLASTIC

* 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 57883-401-05 identifies a specific commercial package of 142 g in 1 bottle, plastic of Keralac, labeled by Brava Pharmaceuticals, Llc. This product is billed per "GM" gram and contains an estimated amount of 142 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 Brava Pharmaceuticals, Llc on July 01, 2011. The current certification is valid through April 30, 2021.

How is this Brava Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 57883040105. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 142 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)
57883-401-05
11-Digit CMS (5-4-2)
57883-0401-05

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