Hydrating Antioxidant Moiturizer
NDC Package 0363-0540-01

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 inactivated by the FDA.

Hydrating Antioxidant Moiturizer is uses  •helps prevent sunburn  •If used as directedwith other protection measures (seeDirections), decreases the risk of skin cancer andearly skin aging caused by the sun. Marketed by Walgreen Company, this product is identified by NDC 0363-0540 and is authorized under FDA application part352.

Identification & Billing

NDC Package Code
0363-0540-01
Package Description
118 mL in 1 PACKAGE
Product Code
0363-0540
11-Digit Billing Format
00363054001

Clinical Specifications

Proprietary Name
Hydrating Antioxidant Moiturizer
Dosage Form
-
Usage Information
Uses  •helps prevent sunburn  •If used as directedwith other protection measures (seeDirections), decreases the risk of skin cancer andearly skin aging caused by the sun.

Regulatory & Marketing

Labeler Name
Walgreen Company
FDA Application #
part352
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
10-28-2017
Listing Expiration
12-31-2022
Exclude Flag
I
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 0363-0540-01 identifies a specific commercial package of 118 ml in 1 package of Hydrating Antioxidant Moiturizer, labeled by Walgreen Company. 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 Walgreen Company on October 28, 2017. The current certification is valid through December 31, 2022.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363054001. 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)
0363-0540-01
11-Digit CMS (5-4-2)
00363-0540-01

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