Mtx Topical Pain
NDC Package 69889-026-15

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.

Mtx Topical Pain is a . Marketed by Unik Pharmaceuticals, Inc., this product is identified by NDC 69889-026 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
69889-026-15
Package Description
15 PACKAGE in 1 BOX / 8 g in 1 PACKAGE
Product Code
69889-026
11-Digit Billing Format
69889002615
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA

Clinical Specifications

Proprietary Name
Mtx Topical Pain
Dosage Form
-

Regulatory & Marketing

Labeler Name
Unik Pharmaceuticals, Inc.
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-15-2016
End Marketing Date
01-16-2017
Listing Expiration
01-16-2017
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 69889-026-15 identifies a specific commercial package of 15 package in 1 box / 8 g in 1 package of Mtx Topical Pain, labeled by Unik Pharmaceuticals, Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 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 Unik Pharmaceuticals, Inc. on September 15, 2016. The current certification is valid through January 16, 2017.

How is this Unik Pharmaceuticals, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69889002615. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
69889-026-15
11-Digit CMS (5-4-2)
69889-0026-15

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