Antidandruff
NDC Package 21130-610-11

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.

Antidandruff is uSES: FOR RELIEF OF FLAKING AND ITCHING DUE TO DANDRUFF, AND SEBORRHEIC DERMATITIS, AND TO HELP PREVENT THE CHANCE OF RE-OCCURRENCE.DIRECTIONS:SHAKE WELL, SHAMPOO, THEN RINSE THOROUGHLY. Marketed by Safeway Inc, this product is identified by NDC 21130-610 and is authorized under FDA application part358.

Identification & Billing

NDC Package Code
21130-610-11
Package Description
325 mL in 1 BOTTLE, PLASTIC
Product Code
21130-610
11-Digit Billing Format
21130061011
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Antidandruff Medicated
Dosage Form
-
Usage Information
USES: FOR RELIEF OF FLAKING AND ITCHING DUE TO DANDRUFF, AND SEBORRHEIC DERMATITIS, AND TO HELP PREVENT THE CHANCE OF RE-OCCURRENCE.DIRECTIONS:SHAKE WELL, SHAMPOO, THEN RINSE THOROUGHLY. FOR BEST RESULTS, USE AT LEAST TWICE A WEEK OR AS DIRECTED BY A DOCTOR.

Regulatory & Marketing

Labeler Name
Safeway Inc
FDA Application #
part358
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-05-2010
Listing Expiration
12-31-2018
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 21130-610-11 identifies a specific commercial package of 325 ml in 1 bottle, plastic of Antidandruff Medicated, labeled by Safeway 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 Safeway Inc on August 05, 2010. The current certification is valid through December 31, 2018.

How is this Safeway Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21130061011. 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)
21130-610-11
11-Digit CMS (5-4-2)
21130-0610-11

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