Private Label Poison Ivy Wash
NDC Package 0802-0119-96

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.

Private Label Poison Ivy Wash is adult and children 2 years of age and older. Marketed by Humco Holding Group, Inc., this product is identified by NDC 0802-0119 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
0802-0119-96
Package Description
117000 mg in 1 BOTTLE
Product Code
0802-0119
11-Digit Billing Format
00802011996
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Private Label Poison Ivy Wash
Dosage Form
-
Usage Information
Adult and children 2 years of age and older. Wet affected areas. Apply the product to affected skin and surrounding area. Work foam into a lather and rub for up to 3 minutes, if needed. Do not leave on skin for longer than 3 minutes. Thoughly rinse product from all areas. Apply to affected are not more than 3 to 4 times daily. Children under 2 years of age. Consult a doctor.

Regulatory & Marketing

Labeler Name
Humco Holding Group, Inc.
FDA Application #
part348
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
06-18-2018
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 0802-0119-96 identifies a specific commercial package of 117000 mg in 1 bottle of Private Label Poison Ivy Wash, labeled by Humco Holding Group, Inc.. 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 Humco Holding Group, Inc. on June 18, 2018. The current certification is valid through December 31, 2022.

How is this Humco Holding Group, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00802011996. 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)
0802-0119-96
11-Digit CMS (5-4-2)
00802-0119-96

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