NDC Package 73480-150-04 Di-phen

View Billable Units, 11-Digit Format, RxNorm

Package Information
NDC HCPCS Crosswalk
Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:

73480-150-04

Package Description:

118 mL in 1 BOTTLE

Product Code:

73480-150

Proprietary Name:

Di-phen

11-Digit NDC Billing Format:

73480015004

Labeler Name:

Trivue Pharmaceuticals, Inc.

Sample Package:

FDA Application Number:

ANDA087513

Marketing Category:

ANDA - A product marketed under an approved Abbreviated New Drug Application.

Start Marketing Date:

10-02-2020

End Marketing Date:

03-31-2022

Listing Expiration Date:

03-31-2022

Exclude Flag:

Code Structure:

73480 - Trivue Pharmaceuticals, Inc.
- 73480-150 - Di-phen
  - 73480-150-04 - 118 mL in 1 BOTTLE

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 disclaimer below.

NDC HCPCS Crosswalk

This crosswalk is intended to help the public understand which drug products (identified by NDCs) are assigned to which HCPCS billing codes.

NDC 73480-150-04 HCPCS crosswalk information with package details and bill units information.

NDC Billing Code	HCPCS Code	HCPCS Code Desc.	Dosage	Package Size	Package Quantity	Billable Units	Billable Units / Pkg
73480015004	Q0163	DIPHENHYDRAMINE HYDROCHLORIDE, 50 MG, ORAL, FDA APPROVED PRESCRIPTION ANTI-EMETIC, FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN	50 MG	118		ML

* Please review the disclaimer below.

Frequently Asked Questions

What is NDC 73480-150-04?

The NDC Packaged Code 73480-150-04 is assigned to a package of 118 ml in 1 bottle of Di-phen, labeled by Trivue Pharmaceuticals, Inc.. The product's dosage form is and is administered via form.

Is NDC 73480-150 included in the NDC Directory?

No, Di-phen with product code 73480-150 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Trivue Pharmaceuticals, Inc. on October 02, 2020 and its listing in the NDC Directory is set to expire on March 31, 2022 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 73480-150-04?

The 11-digit format is 73480015004. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format	10-Digit Original Code	11-Digit Format	11-Digit Code
5-3-2	73480-150-04	5-4-2	73480-0150-04

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