Disposable Convenience Kit (single Shot Epidural)
NDC Package 69938-153-21

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 inactivated by the FDA.

Disposable Convenience Kit (single Shot Epidural) is sodium Chloride Injection is used to flush intravascular catheters or as a sterile, isotonic single dose vehicle, solvent, or diluent for substances to be administered intravenously, intramuscularly or subcutaneously and for other extemporaneously prepared single dose sterile solutions according to instructions of the manufacture of the drug to be administered. Marketed by True Fit Rx Llc, this product is identified by NDC 69938-153.

Identification & Billing

NDC Package Code
69938-153-21
Package Description
1 KIT in 1 KIT * 22.5 mL in 1 PACKET * 30 mL in 1 AMPULE * 5 mL in 1 AMPULE * 1 AMPULE in 1 KIT / 10 mL in 1 AMPULE
Product Code
69938-153
11-Digit Billing Format
69938015321
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Disposable Convenience Kit (single Shot Epidural)
Dosage Form
-
Usage Information
Sodium Chloride Injection is used to flush intravascular catheters or as a sterile, isotonic single dose vehicle, solvent, or diluent for substances to be administered intravenously, intramuscularly or subcutaneously and for other extemporaneously prepared single dose sterile solutions according to instructions of the manufacture of the drug to be administered.

Regulatory & Marketing

Labeler Name
True Fit Rx Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
02-04-2016
Listing Expiration
12-31-2017
Exclude Flag
I
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 69938-153-21 identifies a specific commercial package of 1 kit in 1 kit * 22.5 ml in 1 packet * 30 ml in 1 ampule * 5 ml in 1 ampule * 1 ampule in 1 kit / 10 ml in 1 ampule of Disposable Convenience Kit (single Shot Epidural), labeled by True Fit Rx 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 True Fit Rx Llc on February 04, 2016. The current certification is valid through December 31, 2017.

How is this True Fit Rx Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69938015321. 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)
69938-153-21
11-Digit CMS (5-4-2)
69938-0153-21

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