Prednisolone Sodium Phosphate
NDC Package 65580-251-01

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.

Prednisolone Sodium Phosphate is prednisolone is a man-made form of a natural substance (corticosteroid hormone) made by the adrenal gland. Marketed by Upstate Pharma, Llc, this product is identified by NDC 65580-251 and is authorized under FDA application NDA019157.

Identification & Billing

NDC Package Code
65580-251-01
Package Description
120 mL in 1 BOTTLE
Product Code
65580-251
11-Digit Billing Format
65580025101
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
120 ML

Clinical Specifications

Proprietary Name
Prednisolone Sodium Phosphate
Dosage Form
-
Usage Information
Prednisolone is a man-made form of a natural substance (corticosteroid hormone) made by the adrenal gland. It is used to treat conditions such as arthritis, blood problems, immune system disorders, skin and eye conditions, breathing problems, cancer, and severe allergies. It decreases your immune system's response to various diseases to reduce symptoms such as pain, swelling and allergic-type reactions.

Regulatory & Marketing

Labeler Name
Upstate Pharma, Llc
FDA Application #
NDA019157
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
02-11-2002
End Marketing Date
03-13-2013
Listing Expiration
03-13-2013
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 65580-251-01 identifies a specific commercial package of 120 ml in 1 bottle of Prednisolone Sodium Phosphate, labeled by Upstate Pharma, Llc. This product is billed per "ML" milliliter and contains an estimated amount of 120 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 Upstate Pharma, Llc on February 11, 2002. The current certification is valid through March 13, 2013.

What are the primary indications for this medication?

Prednisolone is a man-made form of a natural substance (corticosteroid hormone) made by the adrenal gland. It is used to treat conditions such as arthritis, blood problems, immune system disorders, skin and eye conditions, breathing problems, cancer, and severe allergies. It decreases your immune system's response to various diseases to reduce symptoms such as pain, swelling and allergic-type reactions.

How is this Upstate Pharma, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65580025101. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 120 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)
65580-251-01
11-Digit CMS (5-4-2)
65580-0251-01

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