Belladonna And Opium
NDC Package 73577-030-12

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.

Belladonna And Opium is a . Marketed by Legacy Pharma Inc., this product is identified by NDC 73577-030.

Identification & Billing

NDC Package Code
73577-030-12
Package Description
12 PACKET in 1 CARTON / 1 SUPPOSITORY in 1 PACKET
Product Code
73577-030
11-Digit Billing Format
73577003012

Clinical Specifications

Proprietary Name
Belladonna And Opium
Dosage Form
-

Regulatory & Marketing

Labeler Name
Legacy Pharma Inc.
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-29-2020
End Marketing Date
07-30-2020
Listing Expiration
07-30-2020
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 73577-030-12 identifies a specific commercial package of 12 packet in 1 carton / 1 suppository in 1 packet of Belladonna And Opium, labeled by Legacy Pharma Inc.. 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 Legacy Pharma Inc. on April 29, 2020. The current certification is valid through July 30, 2020.

How is this Legacy Pharma Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73577003012. 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)
73577-030-12
11-Digit CMS (5-4-2)
73577-0030-12

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