Vitamin A And D
NDC Package 69396-073-09

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.

Vitamin A And D is a . Marketed by Trifecta Pharmaceuticals Usa Llc, this product is identified by NDC 69396-073 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
69396-073-09
Package Description
144 PACKET in 1 CARTON / .9 g in 1 PACKET
Product Code
69396-073
11-Digit Billing Format
69396007309

Clinical Specifications

Proprietary Name
Vitamin A And D
Dosage Form
-

Regulatory & Marketing

Labeler Name
Trifecta Pharmaceuticals Usa Llc
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-11-2021
End Marketing Date
08-01-2023
Listing Expiration
08-01-2023
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 69396-073-09 identifies a specific commercial package of 144 packet in 1 carton / .9 g in 1 packet of Vitamin A And D, labeled by Trifecta Pharmaceuticals Usa 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 Trifecta Pharmaceuticals Usa Llc on May 11, 2021. The current certification is valid through August 01, 2023.

How is this Trifecta Pharmaceuticals Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69396007309. 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)
69396-073-09
11-Digit CMS (5-4-2)
69396-0073-09

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