Sucralfate
NDC Package 66993-830-04

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.

Sucralfate is a medication used to treat and prevent ulcers in the intestines. Marketed by Prasco Laboratories, this product is identified by NDC 66993-830 and is authorized under FDA application ANDA074415.

Identification & Billing

NDC Package Code
66993-830-04
Package Description
500 TABLET in 1 BOTTLE, PLASTIC
Product Code
66993-830
11-Digit Billing Format
66993083004

Clinical Specifications

Proprietary Name
Sucralfate
Dosage Form
-
Usage Information
This medication is used to treat and prevent ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly.

Regulatory & Marketing

Labeler Name
Prasco Laboratories
FDA Application #
ANDA074415
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
07-01-2009
End Marketing Date
01-05-2011
Listing Expiration
01-05-2011
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 (66993-830). Click a package code to view its specific billing and regulatory data.

66993-830-02
100 TABLET 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 66993-830-04 identifies a specific commercial package of 500 tablet in 1 bottle, plastic of Sucralfate, labeled by Prasco Laboratories. 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 Prasco Laboratories on July 01, 2009. The current certification is valid through January 05, 2011.

What are the primary indications for this medication?

This medication is used to treat and prevent ulcers in the intestines. Sucralfate forms a coating over ulcers, protecting the area from further injury. This helps ulcers heal more quickly.

How is this Prasco Laboratories product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66993083004. 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)
66993-830-04
11-Digit CMS (5-4-2)
66993-0830-04

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