Proactiv Skin Purifying Mask Lotion
NDC Package 11410-013-00

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Proactiv Skin Purifying Mask (sulfur) lotions is sensitivity Test for a New User:  Apply product sparingly to one or two small affected areas during the first 3 days.  If no discomfort occurs, follows the directions stated below.apply a small amount to dampened skin.cover the entire affected area with a thin layer and rinse thoroughly one to three times daily.because excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctor.if bothersome dryness or peeling occurs, reduce application to once a day or every other day. This formulation utilizes a lotion delivery system. Marketed by The Proactiv Company Llc, this product is identified by NDC 11410-013 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
11410-013-00
Package Description
1 TUBE in 1 BOX / 30 g in 1 TUBE
Product Code
11410-013
11-Digit Billing Format
11410001300

Clinical Specifications

Proprietary Name
Proactiv Skin Purifying Mask
Non-Proprietary Name
Sulfur
Substance Name
Sulfur
Dosage Form
Lotion - An emulsion, liquid1 dosage form. This dosage form is generally for external application to the skin.2
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
SULFUR 6 g/100g
Usage Information
Sensitivity Test for a New User:  Apply product sparingly to one or two small affected areas during the first 3 days.  If no discomfort occurs, follows the directions stated below.apply a small amount to dampened skin.cover the entire affected area with a thin layer and rinse thoroughly one to three times daily.because excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctor.if bothersome dryness or peeling occurs, reduce application to once a day or every other day.

Regulatory & Marketing

Labeler Name
The Proactiv Company Llc
Product Type
Human Otc Drug
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-31-2012
Listing Expiration
12-31-2027
Exclude Flag
N
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11410-013). Click a package code to view its specific billing and regulatory data.

11410-013-02
1 TUBE in 1 BOX / 28 g in 1 TUBE
11410-013-05
1 TUBE in 1 BOX / 85 g in 1 TUBE
11410-013-10
1 TUBE in 1 BOX / 9 g in 1 TUBE

* 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 11410-013-00 identifies a specific commercial package of 1 tube in 1 box / 30 g in 1 tube of Proactiv Skin Purifying Mask, a human over the counter drug labeled by The Proactiv Company Llc. This lotion is formulated for topical use and contains sulfur as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by The Proactiv Company Llc on December 31, 2012. The current certification is valid through December 31, 2027.

How is this The Proactiv Company Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11410001300. 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 (5-3-2)
11410-013-00
11-Digit CMS (5-4-2)
11410-0013-00

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