Vital
NDC Package 79286-268-01

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.

Vital is a . Marketed by Azure Bottling Llc, this product is identified by NDC 79286-268 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
79286-268-01
Package Description
3785 mL in 1 BOTTLE, PLASTIC
Product Code
79286-268
11-Digit Billing Format
79286026801

Clinical Specifications

Proprietary Name
Vital
Dosage Form
-

Regulatory & Marketing

Labeler Name
Azure Bottling Llc
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
09-21-2020
End Marketing Date
12-31-2021
Listing Expiration
12-31-2021
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 (79286-268). Click a package code to view its specific billing and regulatory data.

79286-268-11
1000 mL in 1 BOTTLE, PLASTIC
79286-268-12
354 mL in 1 BOTTLE, PLASTIC
79286-268-16
500 mL in 1 BOTTLE, PLASTIC

* 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 79286-268-01 identifies a specific commercial package of 3785 ml in 1 bottle, plastic of Vital, labeled by Azure Bottling 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 Azure Bottling Llc on September 21, 2020. The current certification is valid through December 31, 2021.

How is this Azure Bottling Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79286026801. 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)
79286-268-01
11-Digit CMS (5-4-2)
79286-0268-01

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