Pyrimethamine Leucovorin
NDC Package 70271-430-01

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 inactivated by the FDA.

Pyrimethamine Leucovorin is a . Marketed by Imprimisrx Pa, Inc. D/b/a Imprimisrx, this product is identified by NDC 70271-430.

Identification & Billing

NDC Package Code
70271-430-01
Package Description
100 CAPSULE in 1 BOTTLE
Product Code
70271-430
11-Digit Billing Format
70271043001

Clinical Specifications

Proprietary Name
Pyrimethamine Leucovorin
Dosage Form
-

Regulatory & Marketing

Labeler Name
Imprimisrx Pa, Inc. D/b/a Imprimisrx
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
11-27-2015
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 70271-430-01 identifies a specific commercial package of 100 capsule in 1 bottle of Pyrimethamine Leucovorin, labeled by Imprimisrx Pa, Inc. D/b/a Imprimisrx. 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 Imprimisrx Pa, Inc. D/b/a Imprimisrx on November 27, 2015. The current certification is valid through December 31, 2017.

How is this Imprimisrx Pa, Inc. D/b/a Imprimisrx product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 70271043001. 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)
70271-430-01
11-Digit CMS (5-4-2)
70271-0430-01

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