Kaiser Permanente Benzoyl Peroxide
NDC Package 0179-8705-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

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

Kaiser Permanente Benzoyl Peroxide is a . Marketed by Kaiser Foundation Hospitals, this product is identified by NDC 0179-8705 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
0179-8705-05
Package Description
142 g in 1 BOTTLE
Product Code
0179-8705
11-Digit Billing Format
00179870505
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
142 GM

Clinical Specifications

Proprietary Name
Kaiser Permanente Benzoyl Peroxide
Dosage Form
-

Regulatory & Marketing

Labeler Name
Kaiser Foundation Hospitals
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
06-08-2007
End Marketing Date
07-31-2020
Listing Expiration
07-31-2020
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 0179-8705-05 identifies a specific commercial package of 142 g in 1 bottle of Kaiser Permanente Benzoyl Peroxide, labeled by Kaiser Foundation Hospitals. This product is billed per "GM" gram and contains an estimated amount of 142 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 Kaiser Foundation Hospitals on June 08, 2007. The current certification is valid through July 31, 2020.

How is this Kaiser Foundation Hospitals product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00179870505. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 142 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 (4-4-2)
0179-8705-05
11-Digit CMS (5-4-2)
00179-8705-05

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