Insta-char Aqueous Cherry
NDC Package 66689-202-04

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 discontinued by the firm.

Insta-char Aqueous Cherry is shake vigorously to suspend charcoal before use.Remove 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 240 mL if possible.Repeat dose immediately with Insta-Char Aqueous base product if possible.If previous attempts to contact a poison control center, emergency medical facility, or health professional were unsuccessful, continue trying.Keep patient active and moving.Save the container of poison.AgeDoseChildren 1 t0 12 years old weighing at least 16kg (36 lbs.)Adults and children 12 years and over and weighing at least 32 kg (71 lbs.)15-30g activated charcoal or 1-2g per kg of body weight. Marketed by Vistapharm, Llc, this product is identified by NDC 66689-202 and is authorized under FDA application M023.

Identification & Billing

NDC Package Code
66689-202-04
Package Description
120 mL in 1 BOTTLE, PLASTIC
Product Code
66689-202
11-Digit Billing Format
66689020204
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
Insta-char Aqueous Cherry
Dosage Form
-
Usage Information
Shake vigorously to suspend charcoal before use.Remove 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 240 mL if possible.Repeat dose immediately with Insta-Char Aqueous base product if possible.If previous attempts to contact a poison control center, emergency medical facility, or health professional were unsuccessful, continue trying.Keep patient active and moving.Save the container of poison.AgeDoseChildren 1 t0 12 years old weighing at least 16kg (36 lbs.)Adults and children 12 years and over and weighing at least 32 kg (71 lbs.)15-30g activated charcoal or 1-2g per kg of body weight. If a second dose is recommended, the additional dose should be Insta-Char in an Aqueous Base unless otherwise directed by a physician.50 - 100 g (1-2 adult bottles) or 1-2 g per kg of body weight. If a second borrles is recommended, the additional bottle should be Insta-Char in an Aqueous Base unless otherwise directed by a physician.

Regulatory & Marketing

Labeler Name
Vistapharm, Llc
FDA Application #
M023
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-11-2007
End Marketing Date
05-31-2026
Listing Expiration
05-31-2026
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (66689-202). Click a package code to view its specific billing and regulatory data.

66689-202-08
240 mL in 1 BOTTLE, PLASTIC

* 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 66689-202-04 identifies a specific commercial package of 120 ml in 1 bottle, plastic of Insta-char Aqueous Cherry, labeled by Vistapharm, 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 Vistapharm, Llc on December 11, 2007. The current certification is valid through May 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: 66689020204. 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)
66689-202-04
11-Digit CMS (5-4-2)
66689-0202-04

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