Rite Aid
NDC Package 11822-9650-2

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.

Rite Aid is read all warnings and directionsuse only as directedclean the affected area with soap and water and dry thoroughlyremove cap from pentwist the base of the pen, with brush pointing downward, until product dispensesapply a thin layer of the product over the affected area twice daily (morning and night) or as directed by a doctorfor athlete’s foot, pay special attention to spaces between the toes; wear well-fitting, ventilated shoes, and change shoes and socks at least once dailyfor athlete’s foot and ringworm, use daily for 4 weeks. Marketed by Rite Aid, this product is identified by NDC 11822-9650 and is authorized under FDA application part333C.

Identification & Billing

NDC Package Code
11822-9650-2
Package Description
1 APPLICATOR in 1 BOX / 1.7 mL in 1 APPLICATOR (11822-9650-1)
Product Code
11822-9650
11-Digit Billing Format
11822965002
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Rite Aid Maximum Strength Foot Care Anti-fungal Pen
Dosage Form
-
Usage Information
Read all warnings and directionsuse only as directedclean the affected area with soap and water and dry thoroughlyremove cap from pentwist the base of the pen, with brush pointing downward, until product dispensesapply a thin layer of the product over the affected area twice daily (morning and night) or as directed by a doctorfor athlete’s foot, pay special attention to spaces between the toes; wear well-fitting, ventilated shoes, and change shoes and socks at least once dailyfor athlete’s foot and ringworm, use daily for 4 weeks. If condition persists longer, consult a doctorintended for use by normally healthy adults onlypersons under 18 years of age or those with highly sensitive or allergic skin should use only as directed by a doctorsupervise children in the use of this productthis product is not effective on the scalp or nails

Regulatory & Marketing

Labeler Name
Rite Aid
FDA Application #
part333C
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
12-10-2013
Listing Expiration
12-31-2020
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 11822-9650-2 identifies a specific commercial package of 1 applicator in 1 box / 1.7 ml in 1 applicator (11822-9650-1) of Rite Aid Maximum Strength Foot Care Anti-fungal Pen, 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 December 10, 2013. The current certification is valid through December 31, 2020.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822965002. 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)
11822-9650-2
11-Digit CMS (5-4-2)
11822-9650-02

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