Diuscreen Multi-drug Medicated Test Kit
NDC Package 69959-113-01

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.

Diuscreen Multi-drug Medicated Test Kit is a . Marketed by Maveron Health, Llc., this product is identified by NDC 69959-113 and is authorized under FDA application ANDA076796.

Identification & Billing

NDC Package Code
69959-113-01
Package Description
1 KIT in 1 PACKAGE * 1 TABLET in 1 BOTTLE, PLASTIC (43063-416-79) * 3 mL in 1 PACKET
Product Code
69959-113
11-Digit Billing Format
69959011301
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.

Clinical Specifications

Proprietary Name
Diuscreen Multi-drug Medicated Test Kit
Dosage Form
-

Regulatory & Marketing

Labeler Name
Maveron Health, Llc.
FDA Application #
ANDA076796
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
06-01-2015
End Marketing Date
10-28-2016
Listing Expiration
10-28-2016
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 69959-113-01 identifies a specific commercial package of 1 kit in 1 package * 1 tablet in 1 bottle, plastic (43063-416-79) * 3 ml in 1 packet of Diuscreen Multi-drug Medicated Test Kit, labeled by Maveron Health, 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 Maveron Health, Llc. on June 01, 2015. The current certification is valid through October 28, 2016.

How is this Maveron Health, Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69959011301. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. 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)
69959-113-01
11-Digit CMS (5-4-2)
69959-0113-01

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