Select Brand Povidone Iodine
NDC Package 15127-052-55

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.

Select Brand Povidone Iodine is for preparation of the skin prior to surgery: Apply to the operative site prior to surgery.As a first aid antiseptic: Clean the affected area. Marketed by Select Brand Distributors, this product is identified by NDC 15127-052 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
15127-052-55
Package Description
237 mL in 1 BOTTLE, PLASTIC
Product Code
15127-052
11-Digit Billing Format
15127005255
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
237 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Select Brand Povidone Iodine
Dosage Form
-
Usage Information
For preparation of the skin prior to surgery: Apply to the operative site prior to surgery.As a first aid antiseptic: Clean the affected area. Apply a small amount on the area 1 to 3 times daily. May be covered with sterile bandage. If badaged, let it dry first.

Regulatory & Marketing

Labeler Name
Select Brand Distributors
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
01-01-2008
Listing Expiration
12-31-2022
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 15127-052-55 identifies a specific commercial package of 237 ml in 1 bottle, plastic of Select Brand Povidone Iodine, labeled by Select Brand Distributors. 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 Select Brand Distributors on January 01, 2008. The current certification is valid through December 31, 2022.

How is this Select Brand Distributors product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 15127005255. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 237 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)
15127-052-55
11-Digit CMS (5-4-2)
15127-0052-55

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