Blistex
NDC Package 10157-9012-2

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.

Blistex is adults and children 2 years of age and older: apply to affected area, gently rubbing to remove urushiol (toxic plant oil). Marketed by Blistex Inc, this product is identified by NDC 10157-9012 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
10157-9012-2
Package Description
177 mL in 1 BOTTLE, PUMP
Product Code
10157-9012
11-Digit Billing Format
10157901202
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Blistex Ivarest Medicated Poison Ivy Cleansing Foam
Dosage Form
-
Usage Information
Adults and children 2 years of age and older: apply to affected area, gently rubbing to remove urushiol (toxic plant oil). Rinse under running water.apply to affected area not more than 3 to 4 times dailychildren under 2 years of age: Ask a doctor

Regulatory & Marketing

Labeler Name
Blistex 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
10-01-2008
Listing Expiration
12-31-2017
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 10157-9012-2 identifies a specific commercial package of 177 ml in 1 bottle, pump of Blistex Ivarest Medicated Poison Ivy Cleansing Foam, labeled by Blistex 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 Blistex Inc on October 01, 2008. The current certification is valid through December 31, 2017.

How is this Blistex Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 10157901202. 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 (5-4-1)
10157-9012-2
11-Digit CMS (5-4-2)
10157-9012-02

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