Humphreys Maravilla Liquid
NDC Package 0219-0204-80

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

Humphreys Maravilla (witch hazel) liquids is remueva el sello interno / Remove protective inner sealHumedezca un algodón o almohadilla y limpie suavemente la piel / Moisten cotton ball or cleansing pad and gently wipe skin.Aplique las veces que sea necesario / Apply as often as necessary. This formulation utilizes a liquid delivery system. Marketed by Humphreys Pharmacal, Incorporated, this product is identified by NDC 0219-0204 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
0219-0204-80
Package Description
237 mL in 1 BOTTLE, PLASTIC
Product Code
0219-0204
11-Digit Billing Format
00219020480

Clinical Specifications

Proprietary Name
Humphreys Maravilla
Non-Proprietary Name
Witch Hazel
Substance Name
Witch Hazel
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
WITCH HAZEL 1 g/mL
Usage Information
Remueva el sello interno / Remove protective inner sealHumedezca un algodón o almohadilla y limpie suavemente la piel / Moisten cotton ball or cleansing pad and gently wipe skin.Aplique las veces que sea necesario / Apply as often as necessary

Regulatory & Marketing

Labeler Name
Humphreys Pharmacal, Incorporated
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-11-1955
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 (0219-0204). Click a package code to view its specific billing and regulatory data.

0219-0204-16
473 mL in 1 BOTTLE, PLASTIC

* 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 0219-0204-80 identifies a specific commercial package of 237 ml in 1 bottle, plastic of Humphreys Maravilla, a human over the counter drug labeled by Humphreys Pharmacal, Incorporated. This liquid is formulated for topical use and contains witch hazel 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 Humphreys Pharmacal, Incorporated on January 11, 1955. The current certification is valid through December 31, 2026.

How is this Humphreys Pharmacal, Incorporated product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00219020480. 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)
0219-0204-80
11-Digit CMS (5-4-2)
00219-0204-80

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