Prosys 5000
NDC Package 66975-501-04

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.

Prosys 5000 is a . Marketed by Benco Dental, this product is identified by NDC 66975-501.

Identification & Billing

NDC Package Code
66975-501-04
Package Description
112 g in 1 TUBE
Product Code
66975-501
11-Digit Billing Format
66975050104

Clinical Specifications

Proprietary Name
Prosys 5000
Dosage Form
-

Regulatory & Marketing

Labeler Name
Benco Dental
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
10-13-2023
End Marketing Date
12-11-2025
Listing Expiration
12-11-2025
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 66975-501-04 identifies a specific commercial package of 112 g in 1 tube of Prosys 5000, labeled by Benco Dental. 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 Benco Dental on October 13, 2023. The current certification is valid through December 11, 2025.

How is this Benco Dental product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66975050104. 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)
66975-501-04
11-Digit CMS (5-4-2)
66975-0501-04

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