Sucraid Solution
NDC Package 67871-111-07

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

Sucraid (sacrosidase) solution is sucraid® (sacrosidase) Oral Solution is indicated as oral replacement therapy of the genetically determined sucrase deficiency, which is part of congenital sucrase-isomaltase deficiency (CSID). This formulation utilizes a solution delivery system. Marketed by Qol Medical, Llc, this product is identified by NDC 67871-111 and is authorized under FDA application BLA020772.

Identification & Billing

NDC Package Code
67871-111-07
Package Description
6 BOX in 1 CARTON / 25 POUCH in 1 BOX (67871-111-06) / 5 VIAL, SINGLE-USE in 1 POUCH (67871-111-05) / 2 mL in 1 VIAL, SINGLE-USE
Product Code
67871-111
11-Digit Billing Format
67871011107
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Sucraid
Non-Proprietary Name
Sacrosidase
Substance Name
Sacrosidase
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
SACROSIDASE 8500 [iU]/mL
Pharmacologic Class
Sucrose-specific Enzyme - [EPC] (Established Pharmacologic Class)
Usage Information
Sucraid® (sacrosidase) Oral Solution is indicated as oral replacement therapy of the genetically determined sucrase deficiency, which is part of congenital sucrase-isomaltase deficiency (CSID).

Regulatory & Marketing

Labeler Name
Qol Medical, Llc
Product Type
Human Prescription Drug
FDA Application #
BLA020772
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
04-09-1998
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (67871-111). Click a package code to view its specific billing and regulatory data.

67871-111-04
2 BOTTLE in 1 CARTON / 118 mL in 1 BOTTLE (67871-111-01)

* 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 67871-111-07 identifies a specific commercial package of 6 box in 1 carton / 25 pouch in 1 box (67871-111-06) / 5 vial, single-use in 1 pouch (67871-111-05) / 2 ml in 1 vial, single-use of Sucraid, a human prescription drug labeled by Qol Medical, Llc. This solution is formulated for oral use and contains sacrosidase 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 Qol Medical, Llc on April 09, 1998. The current certification is valid through December 31, 2026.

How is this Qol Medical, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67871011107. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
67871-111-07
11-Digit CMS (5-4-2)
67871-0111-07

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