Minolira Extended Release
NDC Package 71403-101-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Minolira Extended Release is mINOLIRA is indicated to treat the inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients 12 years of age and older. Marketed by Epi Health, Inc, this product is identified by NDC 71403-101 and is authorized under FDA application NDA209269.

Identification & Billing

NDC Package Code
71403-101-30
Package Description
1 BOTTLE in 1 CARTON / 30 TABLET in 1 BOTTLE
Product Code
71403-101
11-Digit Billing Format
71403010130
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk
  • RxCUI: 1013659 - minocycline HCl 105 MG 24HR Extended Release Oral Tablet
  • RxCUI: 1013659 - 24 HR minocycline 105 MG Extended Release Oral Tablet
  • RxCUI: 1013659 - minocycline 105 MG (26.25 MG Immediate Release Beads / 78.75 MG Extended Release Beads) 24 HR Extended Release Oral Tablet
  • RxCUI: 1013659 - minocycline 105 MG (as minocycline HCl 113.4 MG) 24 HR Extended Release Oral Tablet
  • RxCUI: 1013659 - minocycline 105 MG 24 HR Extended Release Oral Tablet

Clinical Specifications

Proprietary Name
Minolira Extended Release
Dosage Form
-
Usage Information
MINOLIRA is indicated to treat the inflammatory lesions of non-nodular moderate to severe acne vulgaris in patients 12 years of age and older.

Regulatory & Marketing

Labeler Name
Epi Health, Inc
FDA Application #
NDA209269
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
03-15-2019
Listing Expiration
12-31-2023
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (71403-101). Click a package code to view its specific billing and regulatory data.

71403-101-05
1 BOTTLE in 1 CARTON / 5 TABLET in 1 BOTTLE

* 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 71403-101-30 identifies a specific commercial package of 1 bottle in 1 carton / 30 tablet in 1 bottle of Minolira Extended Release, labeled by Epi Health, 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 Epi Health, Inc on March 15, 2019. The current certification is valid through December 31, 2023.

How is this Epi Health, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71403010130. 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)
71403-101-30
11-Digit CMS (5-4-2)
71403-0101-30

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