Firstline Medical The I-stick Povidone-iodine Antiseptic Ampules
NDC Package 41477-420-69

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.

Firstline Medical The I-stick Povidone-iodine Antiseptic Ampules is clean the areareverse cardboard sleeve then crush at dot between thumb and forefingerallow solution to saturate tipapply product to the operative site prior to surgery using the applicator tip. Marketed by The Wild Side, Llc Dba Firstline Medical, this product is identified by NDC 41477-420 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
41477-420-69
Package Description
25 AMPULE in 1 PACKAGE / 5 mL in 1 AMPULE
Product Code
41477-420
11-Digit Billing Format
41477042069
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Firstline Medical The I-stick Povidone-iodine Antiseptic Ampules
Dosage Form
-
Usage Information
Clean the areareverse cardboard sleeve then crush at dot between thumb and forefingerallow solution to saturate tipapply product to the operative site prior to surgery using the applicator tip

Regulatory & Marketing

Labeler Name
The Wild Side, Llc Dba Firstline Medical
FDA Application #
part333A
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
01-15-2014
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 41477-420-69 identifies a specific commercial package of 25 ampule in 1 package / 5 ml in 1 ampule of Firstline Medical The I-stick Povidone-iodine Antiseptic Ampules, labeled by The Wild Side, Llc Dba Firstline Medical. 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 The Wild Side, Llc Dba Firstline Medical on January 15, 2014. The current certification is valid through December 31, 2018.

How is this The Wild Side, Llc Dba Firstline Medical product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41477042069. 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)
41477-420-69
11-Digit CMS (5-4-2)
41477-0420-69

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