Trans-d
NDC Package 69717-004-15

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.

Trans-d is a . Marketed by Advance Medical Sales, Llc, this product is identified by NDC 69717-004 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
69717-004-15
Package Description
15 PATCH in 1 BOX / 8 g in 1 PATCH
Product Code
69717-004
11-Digit Billing Format
69717000415

Clinical Specifications

Proprietary Name
Trans-d
Dosage Form
-

Regulatory & Marketing

Labeler Name
Advance Medical Sales, Llc
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
03-19-2015
End Marketing Date
12-31-2016
Listing Expiration
12-31-2016
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 69717-004-15 identifies a specific commercial package of 15 patch in 1 box / 8 g in 1 patch of Trans-d, labeled by Advance Medical Sales, 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 Advance Medical Sales, Llc on March 19, 2015. The current certification is valid through December 31, 2016.

How is this Advance Medical Sales, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69717000415. 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)
69717-004-15
11-Digit CMS (5-4-2)
69717-0004-15

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