Promethazine With Codeine
NDC Package 63187-271-04

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.

Promethazine With Codeine is a . Marketed by Proficient Rx Lp, this product is identified by NDC 63187-271 and is authorized under FDA application ANDA040650.

Identification & Billing

NDC Package Code
63187-271-04
Package Description
4 mL in 1 BOTTLE
Product Code
63187-271
11-Digit Billing Format
63187027104

Clinical Specifications

Proprietary Name
Promethazine With Codeine
Dosage Form
-

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
FDA Application #
ANDA040650
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
01-31-2006
End Marketing Date
05-31-2021
Listing Expiration
05-31-2021
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 63187-271-04 identifies a specific commercial package of 4 ml in 1 bottle of Promethazine With Codeine, labeled by Proficient Rx Lp. 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 Proficient Rx Lp on January 31, 2006. The current certification is valid through May 31, 2021.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63187027104. 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)
63187-271-04
11-Digit CMS (5-4-2)
63187-0271-04

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