Oral Pain Relief Anesthetic
NDC Package 0904-6021-36

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.

Oral Pain Relief Anesthetic is a . Marketed by Major Pharmaceuticals, this product is identified by NDC 0904-6021 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
0904-6021-36
Package Description
1 TUBE in 1 CARTON / 14.2 g in 1 TUBE
Product Code
0904-6021
11-Digit Billing Format
00904602136

Clinical Specifications

Proprietary Name
Oral Pain Relief Anesthetic Anesthetic
Dosage Form
-

Regulatory & Marketing

Labeler Name
Major Pharmaceuticals
FDA Application #
part356
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
08-19-2009
End Marketing Date
05-31-2013
Listing Expiration
05-31-2013
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 0904-6021-36 identifies a specific commercial package of 1 tube in 1 carton / 14.2 g in 1 tube of Oral Pain Relief Anesthetic Anesthetic, labeled by Major Pharmaceuticals. 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 Major Pharmaceuticals on August 19, 2009. The current certification is valid through May 31, 2013.

How is this Major Pharmaceuticals product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00904602136. 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)
0904-6021-36
11-Digit CMS (5-4-2)
00904-6021-36

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