Phenobarbital With Belladonna Alkaloids - Mint
NDC Package 72768-9012-4

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 discontinued by the firm.

Phenobarbital With Belladonna Alkaloids - Mint is a . Marketed by Apothecon Florida, Llc, this product is identified by NDC 72768-9012.

Identification & Billing

NDC Package Code
72768-9012-4
Package Description
118 mL in 1 BOTTLE
Product Code
72768-9012
11-Digit Billing Format
72768901204

Clinical Specifications

Proprietary Name
Phenobarbital With Belladonna Alkaloids - Mint
Dosage Form
-

Regulatory & Marketing

Labeler Name
Apothecon Florida, 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
04-11-2020
End Marketing Date
10-10-2022
Listing Expiration
10-10-2022
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (72768-9012). Click a package code to view its specific billing and regulatory data.

72768-9012-6
473 mL 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 72768-9012-4 identifies a specific commercial package of 118 ml in 1 bottle of Phenobarbital With Belladonna Alkaloids - Mint, labeled by Apothecon Florida, 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 Apothecon Florida, Llc on April 11, 2020. The current certification is valid through October 10, 2022.

How is this Apothecon Florida, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72768901204. 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 (5-4-1)
72768-9012-4
11-Digit CMS (5-4-2)
72768-9012-04

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