Provon Perineal Skin Prot
NDC Package 21749-442-07

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Provon Perineal Skin Prot is a . Marketed by Gojo Industries, Inc., this product is identified by NDC 21749-442 and is authorized under FDA application M505(a)(3).

Identification & Billing

NDC Package Code
21749-442-07
Package Description
199 g in 1 PACKAGE
Product Code
21749-442
11-Digit Billing Format
21749044207

Clinical Specifications

Proprietary Name
Provon Perineal Skin Prot With 99 Petrolatum
Dosage Form
-

Regulatory & Marketing

Labeler Name
Gojo Industries, Inc.
FDA Application #
M505(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2010
End Marketing Date
10-31-2021
Listing Expiration
10-31-2021
Exclude Flag
D
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (21749-442). Click a package code to view its specific billing and regulatory data.

21749-442-02
57 g in 1 PACKAGE
21749-442-05
142 g in 1 PACKAGE

* 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 21749-442-07 identifies a specific commercial package of 199 g in 1 package of Provon Perineal Skin Prot With 99 Petrolatum, labeled by Gojo Industries, 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 Gojo Industries, Inc. on May 01, 2010. The current certification is valid through October 31, 2021.

How is this Gojo Industries, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21749044207. 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)
21749-442-07
11-Digit CMS (5-4-2)
21749-0442-07

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