Acne Foaming Wash
NDC Package 11822-1216-5

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.

Acne Foaming Wash is wet faceApply to hands and work into a latherMassage face gentlyRinse thoroughly and pat dryClease twice a dayIf going outside apply sunscreen after using this product. Marketed by Rite Aid, this product is identified by NDC 11822-1216 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
11822-1216-5
Package Description
1 TUBE in 1 CARTON / 156 g in 1 TUBE
Product Code
11822-1216
11-Digit Billing Format
11822121605
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Acne Foaming Wash Daylodic
Dosage Form
-
Usage Information
Wet faceApply to hands and work into a latherMassage face gentlyRinse thoroughly and pat dryClease twice a dayIf going outside apply sunscreen after using this product. If irritation or sensitivity develops, stop use of both products and consult a doctor

Regulatory & Marketing

Labeler Name
Rite Aid
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-15-2016
Listing Expiration
12-31-2019
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 11822-1216-5 identifies a specific commercial package of 1 tube in 1 carton / 156 g in 1 tube of Acne Foaming Wash Daylodic, labeled by Rite Aid. 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 Rite Aid on September 15, 2016. The current certification is valid through December 31, 2019.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822121605. 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)
11822-1216-5
11-Digit CMS (5-4-2)
11822-1216-05

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