Grafco Stick
NDC Package 12165-100-01

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

Package Information

Grafco (silver nitrate) sticks is iNDICATIONS:  For cauterization of skin or mucous membrane and for removing warts and granulated tissue.DIRECTIONS:  The healthcare professional moistens the applicator tip with distilled water and applies the silver nitrate to the affected area by holding, rubbing, or rotating the tip along the affected tissue.  The strength of the action is controlled by the dilution with distilled water.  One Grafco silver nitrate applicator is generally sufficient for each application. . This formulation utilizes a stick delivery system. Marketed by Gf Health Products, Inc., this product is identified by NDC 12165-100.

Identification & Billing

NDC Package Code
12165-100-01
Package Description
100 STICK in 1 TUBE
Product Code
12165-100
11-Digit Billing Format
12165010001
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
100 EA
RxNorm Crosswalk
  • RxCUI: 1117536 - potassium nitrate 25 % / silver nitrate 75 % Medicated Pad
  • RxCUI: 1117536 - potassium nitrate 250 MG/ML / silver nitrate 750 MG/ML Medicated Pad
  • RxCUI: 1117536 - K+ nitrate 250 MG/ML / AgNO3 750 MG/ML Medicated Pad
  • RxCUI: 1117536 - Pot nitrate 250 MG/ML / AgNO3 750 MG/ML Medicated Pad
  • RxCUI: 1117536 - potassium nitrate 25 % / silver nitrate 75 % Topical Sponge

Clinical Specifications

Proprietary Name
Grafco Applicator 15 Cm
Non-Proprietary Name
Silver Nitrate
Substance Name
Potassium Nitrate; Silver Nitrate
Dosage Form
Stick - A dosage form prepared in a relatively long and slender often cylindrical form.
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)
Usage Information
INDICATIONS:  For cauterization of skin or mucous membrane and for removing warts and granulated tissue.DIRECTIONS:  The healthcare professional moistens the applicator tip with distilled water and applies the silver nitrate to the affected area by holding, rubbing, or rotating the tip along the affected tissue.  The strength of the action is controlled by the dilution with distilled water.  One Grafco silver nitrate applicator is generally sufficient for each application. 

Regulatory & Marketing

Labeler Name
Gf Health Products, Inc.
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-19-1949
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 12165-100-01 identifies a specific commercial package of 100 stick in 1 tube of Grafco Applicator 15 Cm, a human prescription drug labeled by Gf Health Products, Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 100 billable units per package. This stick is formulated for topical use and contains potassium nitrate; silver nitrate 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 Gf Health Products, Inc. on April 19, 1949. The current certification is valid through December 31, 2026.

How is this Gf Health Products, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 12165010001. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 100 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 (5-3-2)
12165-100-01
11-Digit CMS (5-4-2)
12165-0100-01

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