Testosterone
NDC Package 63629-2124-1

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.

Testosterone is this medicated gel contains testosterone. Marketed by Bryant Ranch Prepack, this product is identified by NDC 63629-2124 and is authorized under FDA application ANDA076744.

Identification & Billing

NDC Package Code
63629-2124-1
Package Description
30 PACKET in 1 CARTON / 2.5 g in 1 PACKET (63629-2124-2)
Product Code
63629-2124
11-Digit Billing Format
63629212401
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
2.5 GM

Clinical Specifications

Proprietary Name
Testosterone
Dosage Form
-
Usage Information
This medicated gel contains testosterone. It is used for hormone replacement in men who are not able to produce enough testosterone (for example, due to hypogonadism). This medication is absorbed through the skin, enters your bloodstream, and helps your body reach normal testosterone levels. Testosterone helps the body to develop and maintain the male sexual characteristics (masculinity), such as a deep voice and body hair. It also helps to maintain muscle and prevent bone loss, and is necessary for natural sexual ability/desire. This drug should not be used by women.

Regulatory & Marketing

Labeler Name
Bryant Ranch Prepack
FDA Application #
ANDA076744
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
09-02-2015
End Marketing Date
02-28-2024
Listing Expiration
02-28-2024
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 63629-2124-1 identifies a specific commercial package of 30 packet in 1 carton / 2.5 g in 1 packet (63629-2124-2) of Testosterone, labeled by Bryant Ranch Prepack. This product is billed per "GM" gram and contains an estimated amount of 2.5 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 Bryant Ranch Prepack on September 02, 2015. The current certification is valid through February 28, 2024.

What are the primary indications for this medication?

This medicated gel contains testosterone. It is used for hormone replacement in men who are not able to produce enough testosterone (for example, due to hypogonadism). This medication is absorbed through the skin, enters your bloodstream, and helps your body reach normal testosterone levels. Testosterone helps the body to develop and maintain the male sexual characteristics (masculinity), such as a deep voice and body hair. It also helps to maintain muscle and prevent bone loss, and is necessary for natural sexual ability/desire. This drug should not be used by women.

How is this Bryant Ranch Prepack product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63629212401. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 2.5 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)
63629-2124-1
11-Digit CMS (5-4-2)
63629-2124-01

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