Rosuvastatin And Ezetimibe
NDC Package 82120-128-30

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

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

Rosuvastatin And Ezetimibe is a . Marketed by Scov3 Llc, this product is identified by NDC 82120-128 and is authorized under FDA application NDA213072.

Identification & Billing

NDC Package Code
82120-128-30
Package Description
30 TABLET in 1 BOTTLE
Product Code
11-Digit Billing Format
82120012830
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
30 EA

Clinical Specifications

Proprietary Name
Rosuvastatin And Ezetimibe
Dosage Form
-

Regulatory & Marketing

Labeler Name
Scov3 Llc
FDA Application #
NDA213072
Marketing Category
NDA AUTHORIZED GENERIC - A product marketed as a "generic" drug under an approved New Drug Application (NDA), rather than an Abbreviated New Drug Application (ANDA),.
Start Marketing Date
08-15-2021
End Marketing Date
11-01-2023
Listing Expiration
11-01-2023
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 82120-128-30 identifies a specific commercial package of 30 tablet in 1 bottle of Rosuvastatin And Ezetimibe, labeled by Scov3 Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 30 billable units per package. 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 Scov3 Llc on August 15, 2021. The current certification is valid through November 01, 2023.

How is this Scov3 Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 82120012830. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 30 total billable units per package. 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)
82120-128-30
11-Digit CMS (5-4-2)
82120-0128-30

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