Arsenic Trioxide Injection, Solution
NDC Package 83090-009-10

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

Arsenic Trioxide injection is arsenic trioxide is used to treat a type of leukemia (acute promyelocytic leukemia-APL). This formulation utilizes a injection, solution delivery system. Marketed by Sintetica Us Llc, this product is identified by NDC 83090-009 and is authorized under FDA application ANDA217413.

Identification & Billing

NDC Package Code
83090-009-10
Package Description
10 VIAL, SINGLE-DOSE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-DOSE (83090-009-05)
Product Code
83090-009
11-Digit Billing Format
83090000910
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Arsenic Trioxide
Non-Proprietary Name
Arsenic Trioxide
Substance Name
Arsenic Trioxide
Dosage Form
Injection, Solution - A liquid preparation containing one or more drug substances dissolved in a suitable solvent or mixture of mutually miscible solvents that is suitable for injection.
Administration Route
Intravenous - Administration within or into a vein or veins.
Active Ingredient(s)
ARSENIC TRIOXIDE 1 mg/mL
Usage Information
Arsenic trioxide is used to treat a type of leukemia (acute promyelocytic leukemia-APL).

Regulatory & Marketing

Labeler Name
Sintetica Us Llc
Product Type
Human Prescription Drug
FDA Application #
ANDA217413
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
11-09-2023
Listing Expiration
12-31-2026
Exclude Flag
N
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 (83090-009). Click a package code to view its specific billing and regulatory data.

83090-009-01
1 VIAL, SINGLE-DOSE in 1 CARTON / 10 mL in 1 VIAL, SINGLE-DOSE (83090-009-05)

* 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 83090-009-10 identifies a specific commercial package of 10 vial, single-dose in 1 carton / 10 ml in 1 vial, single-dose (83090-009-05) of Arsenic Trioxide, a human prescription drug labeled by Sintetica Us Llc. This injection, solution is formulated for intravenous use and contains arsenic trioxide as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Sintetica Us Llc on November 09, 2023. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

Arsenic trioxide is used to treat a type of leukemia (acute promyelocytic leukemia-APL).

How is this Sintetica Us Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83090000910. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
83090-009-10
11-Digit CMS (5-4-2)
83090-0009-10

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