Moist Sure
NDC Package 0699-5728-08

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.

Moist Sure is a . Marketed by Dentsply Llc, Professional Division Trading As Sultan Healthcare, this product is identified by NDC 0699-5728 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
0699-5728-08
Package Description
3.78 L in 1 BOTTLE, PLASTIC
Product Code
11-Digit Billing Format
00699572808

Clinical Specifications

Proprietary Name
Moist Sure
Dosage Form
-

Regulatory & Marketing

Labeler Name
Dentsply Llc, Professional Division Trading As Sultan Healthcare
FDA Application #
part333E
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
07-01-2011
End Marketing Date
07-24-2019
Listing Expiration
07-24-2019
Exclude Flag
D
Sample Package
No

Hierarchy Structure

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 0699-5728-08 identifies a specific commercial package of 3.78 l in 1 bottle, plastic of Moist Sure, labeled by Dentsply Llc, Professional Division Trading As Sultan Healthcare. 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 Dentsply Llc, Professional Division Trading As Sultan Healthcare on July 01, 2011. The current certification is valid through July 24, 2019.

How is this Dentsply Llc, Professional Division Trading As Sultan Healthcare product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00699572808. 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)
0699-5728-08
11-Digit CMS (5-4-2)
00699-5728-08

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