Lucky Super Soft Hydrogen Peroxide
NDC Package 20276-300-16

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.

Lucky Super Soft Hydrogen Peroxide is for use as a first aid antiseptic: Clean the affected area. Marketed by Delta Brands Inc, this product is identified by NDC 20276-300 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
20276-300-16
Package Description
473 mL in 1 BOTTLE, PLASTIC
Product Code
20276-300
11-Digit Billing Format
20276030016
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lucky Super Soft Hydrogen Peroxide 3 Percent
Dosage Form
-
Usage Information
For use as a first aid antiseptic: Clean the affected area. Apply a small amount of this product on affected area 1to 3 times a daily. May be covered with a sterile bandage. If bandaged, let dry firstFor use as an oral debriding agent:Adults and children 2 years of age and older: Mix with an equal amount of warm water. Swish around in the mouth over affected area for at least 1 minute and then spit out. Use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctorChildren under 12 years of age should be supervised in the use of this product. Children under 2 years of age: Consult a dentist or doctor

Regulatory & Marketing

Labeler Name
Delta Brands Inc
FDA Application #
part356
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
11-02-2021
Listing Expiration
12-31-2024
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 20276-300-16 identifies a specific commercial package of 473 ml in 1 bottle, plastic of Lucky Super Soft Hydrogen Peroxide 3 Percent, labeled by Delta Brands Inc. 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 Delta Brands Inc on November 02, 2021. The current certification is valid through December 31, 2024.

How is this Delta Brands Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 20276030016. 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)
20276-300-16
11-Digit CMS (5-4-2)
20276-0300-16

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