Dipentum
NDC Package 68220-160-10

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.

Dipentum is olsalazine is used to treat a certain type of bowel disease called ulcerative colitis. Marketed by Alaven Pharmaceutical Llc, this product is identified by NDC 68220-160 and is authorized under FDA application NDA019715.

Identification & Billing

NDC Package Code
68220-160-10
Package Description
100 CAPSULE, GELATIN COATED in 1 BOTTLE, PLASTIC
Product Code
68220-160
11-Digit Billing Format
68220016010
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA

Clinical Specifications

Proprietary Name
Dipentum
Dosage Form
-
Usage Information
Olsalazine is used to treat a certain type of bowel disease called ulcerative colitis. It does not cure ulcerative colitis, but it may decrease symptoms such as stomach pain, diarrhea, and rectal bleeding caused by irritation/swelling of the colon/rectum. After an attack is treated, olsalazine is used to increase the amount of time between attacks. Olsalazine is a salicylate anti-inflammatory drug. It is believed to work by blocking the production of certain natural substances (e.g., prostaglandins) that may cause pain and swelling.

Regulatory & Marketing

Labeler Name
Alaven Pharmaceutical Llc
FDA Application #
NDA019715
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
07-31-1990
End Marketing Date
05-11-2017
Listing Expiration
05-11-2017
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 68220-160-10 identifies a specific commercial package of 100 capsule, gelatin coated in 1 bottle, plastic of Dipentum, labeled by Alaven Pharmaceutical Llc. 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 Alaven Pharmaceutical Llc on July 31, 1990. The current certification is valid through May 11, 2017.

What are the primary indications for this medication?

Olsalazine is used to treat a certain type of bowel disease called ulcerative colitis. It does not cure ulcerative colitis, but it may decrease symptoms such as stomach pain, diarrhea, and rectal bleeding caused by irritation/swelling of the colon/rectum. After an attack is treated, olsalazine is used to increase the amount of time between attacks. Olsalazine is a salicylate anti-inflammatory drug. It is believed to work by blocking the production of certain natural substances (e.g., prostaglandins) that may cause pain and swelling.

How is this Alaven Pharmaceutical Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68220016010. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 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)
68220-160-10
11-Digit CMS (5-4-2)
68220-0160-10

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