Lidoworx
NDC Package 28109-030-06

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 discontinued by the firm.

Lidoworx is a . Marketed by Dermworx Incorporated, this product is identified by NDC 28109-030 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
28109-030-06
Package Description
6 CARTON in 1 CARTON / 1 TUBE in 1 CARTON (28109-030-01) / 12 g in 1 TUBE
Product Code
28109-030
11-Digit Billing Format
28109003006

Clinical Specifications

Proprietary Name
Lidoworx
Dosage Form
-

Regulatory & Marketing

Labeler Name
Dermworx Incorporated
FDA Application #
part348
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
04-18-2009
End Marketing Date
04-06-2011
Listing Expiration
04-06-2011
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 28109-030-06 identifies a specific commercial package of 6 carton in 1 carton / 1 tube in 1 carton (28109-030-01) / 12 g in 1 tube of Lidoworx, labeled by Dermworx Incorporated. 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 Dermworx Incorporated on April 18, 2009. The current certification is valid through April 06, 2011.

How is this Dermworx Incorporated product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 28109003006. 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)
28109-030-06
11-Digit CMS (5-4-2)
28109-0030-06

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