Servo-stat T Foam
NDC Package 76378-014-01

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 discontinued by the firm.

Servo-stat T Foam is a . Marketed by Enzyme Solutions, Inc., this product is identified by NDC 76378-014.

Identification & Billing

NDC Package Code
76378-014-01
Package Description
1000 mL in 1 BAG
Product Code
76378-014
11-Digit Billing Format
76378001401

Clinical Specifications

Proprietary Name
Servo-stat T Foam
Dosage Form
-

Regulatory & Marketing

Labeler Name
Enzyme Solutions, 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
02-01-2011
End Marketing Date
05-12-2020
Listing Expiration
05-12-2020
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 76378-014-01 identifies a specific commercial package of 1000 ml in 1 bag of Servo-stat T Foam, labeled by Enzyme Solutions, 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 Enzyme Solutions, Inc. on February 01, 2011. The current certification is valid through May 12, 2020.

How is this Enzyme Solutions, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76378001401. 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)
76378-014-01
11-Digit CMS (5-4-2)
76378-0014-01

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