Diluent For Allergenic Extract - Sterile Normal Saline With Phenol
NDC Package 65044-9990-2

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 inactivated by the FDA.

Diluent For Allergenic Extract - Sterile Normal Saline With Phenol is a . Marketed by Hollister-stier Laboratories Llc, this product is identified by NDC 65044-9990 and is authorized under FDA application BLA103888.

Identification & Billing

NDC Package Code
65044-9990-2
Package Description
25 VIAL in 1 TRAY / 4 mL in 1 VIAL
Product Code
65044-9990
11-Digit Billing Format
65044999002

Clinical Specifications

Proprietary Name
Diluent For Allergenic Extract - Sterile Normal Saline With Phenol
Dosage Form
-

Regulatory & Marketing

Labeler Name
Hollister-stier Laboratories Llc
FDA Application #
BLA103888
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
08-01-1979
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (65044-9990). Click a package code to view its specific billing and regulatory data.

65044-9990-1
25 VIAL in 1 TRAY / 2 mL in 1 VIAL
65044-9990-3
25 VIAL in 1 TRAY / 4.5 mL in 1 VIAL
65044-9990-4
25 VIAL in 1 TRAY / 8 mL in 1 VIAL
65044-9990-5
25 VIAL in 1 TRAY / 9 mL in 1 VIAL
65044-9990-7
100 mL in 1 VIAL

* 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 65044-9990-2 identifies a specific commercial package of 25 vial in 1 tray / 4 ml in 1 vial of Diluent For Allergenic Extract - Sterile Normal Saline With Phenol, labeled by Hollister-stier Laboratories Llc. 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 Hollister-stier Laboratories Llc on August 01, 1979. The current certification is valid through December 31, 2017.

How is this Hollister-stier Laboratories Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65044999002. 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)
65044-9990-2
11-Digit CMS (5-4-2)
65044-9990-02

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