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  5. NDC Package Code: 81520-255-14 Voquezna Triple Pak

NDC Package 81520-255-14 Voquezna Triple Pak

Vonoprazan Fumarate,Amoxicillin And Clarithromycin Kit - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

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:
81520-255-14
Package Description:
14 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK (81520-255-01)
Product Code:
81520-255
Proprietary Name:
Voquezna Triple Pak
Non-Proprietary Name:
Vonoprazan Fumarate, Amoxicillin And Clarithromycin
Usage Information:
VOQUEZNA TRIPLE PAK or VOQUEZNA DUAL PAK are indicated for the treatment of Helicobacter pylori (H. pylori) infection in adults [see Clinical Studies (14)].
11-Digit NDC Billing Format:
81520025514
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
14 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 197517 - clarithromycin 500 MG Oral Tablet
  • RxCUI: 2604800 - vonoprazan 20 MG Oral Tablet
  • RxCUI: 2604800 - vonoprazan 20 MG (as vonoprazan fumarate 26.72 mg) Oral Tablet
  • RxCUI: 2604801 - {84 (amoxicillin 500 MG Oral Capsule) / 28 (vonoprazan 20 MG Oral Tablet) } Pack
  • RxCUI: 2604801 - amoxicillin 500 MG (84) / vonoprazan 20 MG (28) 14 Day DualPak Oral Pack
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Phathom Pharmaceuticals Inc.
    Dosage Form:
    Kit - A packaged collection of related material.
    Sample Package:
    No
    FDA Application Number:
    NDA215152
    Marketing Category:
    NDA - A product marketed under an approved New Drug Application.
    Start Marketing Date:
    11-08-2023
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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.

    Frequently Asked Questions

    What is NDC 81520-255-14?

    The NDC Packaged Code 81520-255-14 is assigned to a package of 14 blister pack in 1 carton / 1 kit in 1 blister pack (81520-255-01) of Voquezna Triple Pak, a human prescription drug labeled by Phathom Pharmaceuticals Inc.. The product's dosage form is kit and is administered via form.This product is billed for "EA" each discreet unit and contains an estimated amount of 14 billable units per package.

    Is NDC 81520-255 included in the NDC Directory?

    Yes, Voquezna Triple Pak with product code 81520-255 is active and included in the NDC Directory. The product was first marketed by Phathom Pharmaceuticals Inc. on November 08, 2023 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 81520-255-14?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 14.

    What is the 11-digit format for NDC 81520-255-14?

    The 11-digit format is 81520025514. 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 Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-281520-255-145-4-281520-0255-14