Perrigo Benzoyl Peroxide
NDC Package 21695-686-60

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.

Perrigo Benzoyl Peroxide is benzoyl Peroxide Gel 5% and 10% are indicated for use in the topical treatment of mild to moderate acne vulgaris. Marketed by Rebel Distributors Corp, this product is identified by NDC 21695-686.

Identification & Billing

NDC Package Code
21695-686-60
Package Description
1 TUBE in 1 CARTON / 60 g in 1 TUBE
Product Code
21695-686
11-Digit Billing Format
21695068660
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Perrigo Benzoyl Peroxide Hydroalcoholic Base
Dosage Form
-
Usage Information
Benzoyl Peroxide Gel 5% and 10% are indicated for use in the topical treatment of mild to moderate acne vulgaris. Benzoyl Peroxide Gel 5% and 10% may be used as an adjunct in acne treatment regimens including antibiotics, retinoic acid products, and sulfur/salicylic acid containing preparations.

Regulatory & Marketing

Labeler Name
Rebel Distributors Corp
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
10-04-2007
Listing Expiration
12-31-2017
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 21695-686-60 identifies a specific commercial package of 1 tube in 1 carton / 60 g in 1 tube of Perrigo Benzoyl Peroxide Hydroalcoholic Base, labeled by Rebel Distributors Corp. 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 Rebel Distributors Corp on October 04, 2007. The current certification is valid through December 31, 2017.

How is this Rebel Distributors Corp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21695068660. 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)
21695-686-60
11-Digit CMS (5-4-2)
21695-0686-60

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