Pain Zero
NDC Package 69103-2596-2

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.

Pain Zero is a . Marketed by Provision Medical Products, this product is identified by NDC 69103-2596 and is authorized under FDA application ANDA090545.

Identification & Billing

NDC Package Code
69103-2596-2
Package Description
50 PACKET in 1 CARTON / 1 TABLET in 1 PACKET
Product Code
69103-2596
11-Digit Billing Format
69103259602

Clinical Specifications

Proprietary Name
Pain Zero
Dosage Form
-

Regulatory & Marketing

Labeler Name
Provision Medical Products
FDA Application #
ANDA090545
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-31-2015
End Marketing Date
10-02-2017
Listing Expiration
10-02-2017
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 69103-2596-2 identifies a specific commercial package of 50 packet in 1 carton / 1 tablet in 1 packet of Pain Zero, labeled by Provision Medical Products. 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 Provision Medical Products on March 31, 2015. The current certification is valid through October 02, 2017.

How is this Provision Medical Products product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69103259602. 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 (5-4-1)
69103-2596-2
11-Digit CMS (5-4-2)
69103-2596-02

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