Flucelvax Quadrivalent
NDC Package 83703-037-03

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.

Flucelvax Quadrivalent is a . Marketed by Bamboo Us Bidco Llc, this product is identified by NDC 83703-037 and is authorized under FDA application BLA125408.

Identification & Billing

NDC Package Code
83703-037-03
Package Description
10 SYRINGE, GLASS in 1 CARTON / .5 mL in 1 SYRINGE, GLASS (83703-037-04)
Product Code
11-Digit Billing Format
83703003703

Clinical Specifications

Proprietary Name
Flucelvax Quadrivalent
Dosage Form
-

Regulatory & Marketing

Labeler Name
Bamboo Us Bidco Llc
FDA Application #
BLA125408
Marketing Category
BLA - A product marketed under an approved Biologic License Application.
Start Marketing Date
05-08-2019
End Marketing Date
08-06-2023
Listing Expiration
08-06-2023
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 83703-037-03 identifies a specific commercial package of 10 syringe, glass in 1 carton / .5 ml in 1 syringe, glass (83703-037-04) of Flucelvax Quadrivalent, labeled by Bamboo Us Bidco 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 Bamboo Us Bidco Llc on May 08, 2019. The current certification is valid through August 06, 2023.

How is this Bamboo Us Bidco Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83703003703. 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)
83703-037-03
11-Digit CMS (5-4-2)
83703-0037-03

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