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  5. NDC Package Code: 69468-151-20 Vistogard

NDC Package 69468-151-20 Vistogard

Uridine Triacetate Granule Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
69468-151-20
Package Description:
20 PACKET in 1 CARTON / 10 g in 1 PACKET (69468-151-10)
Product Code:
69468-151
Proprietary Name:
Vistogard
Non-Proprietary Name:
Uridine Triacetate
Substance Name:
Uridine Triacetate
Usage Information:
VISTOGARD® is indicated for the emergency treatment of adult and pediatric patients: following a fluorouracil or capecitabine overdose regardless of the presence of symptoms, orwho exhibit early-onset, severe or life-threatening toxicity affecting the cardiac or central nervous system, and/or early-onset, unusually severe adverse reactions (e.g., gastrointestinal toxicity and/or neutropenia) within 96 hours following the end of fluorouracil or capecitabine administration.
11-Digit NDC Billing Format:
69468015120
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 1739794 - uridine triacetate 10 GM Oral Granules
  • RxCUI: 1739794 - uridine triacetate 10000 MG Oral Granules
  • RxCUI: 1739800 - Vistogard 10 GM Oral Granules
  • RxCUI: 1739800 - uridine triacetate 10000 MG Oral Granules [Vistogard]
  • RxCUI: 1739800 - Vistogard 10,000 MG Oral Granules
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Wellstat Therapeutics Corporation
    Dosage Form:
    Granule - A small particle or grain.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • URIDINE TRIACETATE 951 mg/g
    • Pharmacologic Class(es):
  • Analogs/Derivatives - [Chemical/Ingredient]
  • Pyrimidine Analog - [EPC] (Established Pharmacologic Class)
  • Pyrimidines - [Chemical/Ingredient]
    • Sample Package:
    No
    FDA Application Number:
    NDA208159
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    03-01-2016
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    69468-151-044 PACKET in 1 CARTON / 10 g in 1 PACKET (69468-151-10)
    69468-151-1010 g in 1 PACKET

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 69468-151-20?

    The NDC Packaged Code 69468-151-20 is assigned to a package of 20 packet in 1 carton / 10 g in 1 packet (69468-151-10) of Vistogard, a human prescription drug labeled by Wellstat Therapeutics Corporation. The product's dosage form is granule and is administered via oral form.This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package.

    Is NDC 69468-151 included in the NDC Directory?

    Yes, Vistogard with product code 69468-151 is active and included in the NDC Directory. The product was first marketed by Wellstat Therapeutics Corporation on March 01, 2016 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 69468-151-20?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

    What is the 11-digit format for NDC 69468-151-20?

    The 11-digit format is 69468015120. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-269468-151-205-4-269468-0151-20