Vanadom
NDC Package 69036-920-35

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.

Vanadom is a . Marketed by Sallus Laboratories, Llc, this product is identified by NDC 69036-920 and is authorized under FDA application ANDA040188.

Identification & Billing

NDC Package Code
69036-920-35
Package Description
100 TABLET in 1 BOTTLE
Product Code
69036-920
11-Digit Billing Format
69036092035
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
Vanadom
Dosage Form
-

Regulatory & Marketing

Labeler Name
Sallus Laboratories, Llc
FDA Application #
ANDA040188
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-23-2020
End Marketing Date
12-08-2023
Listing Expiration
12-08-2023
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 69036-920-35 identifies a specific commercial package of 100 tablet in 1 bottle of Vanadom, labeled by Sallus Laboratories, Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 100 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 Sallus Laboratories, Llc on March 23, 2020. The current certification is valid through December 08, 2023.

How is this Sallus Laboratories, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69036092035. 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)
69036-920-35
11-Digit CMS (5-4-2)
69036-0920-35

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