Lantiseptic Original Daily Care Skin Protectant
NDC Package 12090-0040-4

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Lantiseptic Original Daily Care Skin Protectant is a . Marketed by Santus Llc, this product is identified by NDC 12090-0040 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
12090-0040-4
Package Description
113 g in 1 TUBE
Product Code
11-Digit Billing Format
12090004004
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
113 GM

Clinical Specifications

Proprietary Name
Lantiseptic Original Daily Care Skin Protectant
Dosage Form
-

Regulatory & Marketing

Labeler Name
Santus Llc
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
03-03-2016
End Marketing Date
01-06-2018
Listing Expiration
01-06-2018
Exclude Flag
D
Sample Package
No

Hierarchy Structure

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 (12090-0040). Click a package code to view its specific billing and regulatory data.

397 g in 1 JAR

* 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 12090-0040-4 identifies a specific commercial package of 113 g in 1 tube of Lantiseptic Original Daily Care Skin Protectant, labeled by Santus Llc. This product is billed per "GM" gram and contains an estimated amount of 113 billable units per package. 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 Santus Llc on March 03, 2016. The current certification is valid through January 06, 2018.

How is this Santus Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 12090004004. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 113 total billable units per package. 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)
12090-0040-4
11-Digit CMS (5-4-2)
12090-0040-04

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