Insta-char Sorbitol Suspension
NDC Package 66689-115-08

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Insta-char Sorbitol (poison adsorbent) suspension is sHAKE VIGOROUSLY TO SUSPEND CHARCOAL BEFORE USEremove foil seal underneath cap and replace cap.cut off delivery tip of bottle 3/4 inch from end to insert drinking straw included with bottle.pull or cut off tip from included cherry flavor and squeeze flavor into straw.administer entire bottle, 25 g activated charcoal in 240 mL, or as directed by health professional.repeat dose immediately if possible.if previous attempts to contact a poison control center. This formulation utilizes a suspension delivery system. Marketed by Vistapharm, Llc, this product is identified by NDC 66689-115 and is authorized under FDA application M023.

Identification & Billing

NDC Package Code
66689-115-08
Package Description
240 mL in 1 BOTTLE, PLASTIC
Product Code
66689-115
11-Digit Billing Format
66689011508
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
240 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Insta-char Sorbitol
Non-Proprietary Name
Poison Adsorbent
Substance Name
Activated Charcoal
Dosage Form
Suspension - A liquid1 dosage form that contains solid particles dispersed in a liquid vehicle.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
ACTIVATED CHARCOAL 25 g/240mL
Usage Information
SHAKE VIGOROUSLY TO SUSPEND CHARCOAL BEFORE USEremove foil seal underneath cap and replace cap.cut off delivery tip of bottle 3/4 inch from end to insert drinking straw included with bottle.pull or cut off tip from included cherry flavor and squeeze flavor into straw.administer entire bottle, 25 g activated charcoal in 240 mL, or as directed by health professional.repeat dose immediately if possible.if previous attempts to contact a poison control center. emergency medical facility, of health professional were unsuccessful, continue trying.keep patient active and moving.save the container of poison.

Regulatory & Marketing

Labeler Name
Vistapharm, Llc
Product Type
Human Otc Drug
FDA Application #
M023
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-13-2024
Listing Expiration
12-31-2026
Exclude Flag
N
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 66689-115-08 identifies a specific commercial package of 240 ml in 1 bottle, plastic of Insta-char Sorbitol, a human over the counter drug labeled by Vistapharm, Llc. This product is billed per "ML" milliliter and contains an estimated amount of 240 billable units per package. This suspension is formulated for oral use and contains activated charcoal as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Vistapharm, Llc on December 13, 2024. The current certification is valid through December 31, 2026.

How is this Vistapharm, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66689011508. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 240 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)
66689-115-08
11-Digit CMS (5-4-2)
66689-0115-08

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