Shang Shi Zhi Tong Gao
NDC Package 42217-201-10

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.

Shang Shi Zhi Tong Gao is a medication used as Camphor   External AnalgesicMenthol     External AnalgesicMethyl Salicylate   External Analgesic. Marketed by Henan Lingrui Pharmaceutical Co.; Ltd, this product is identified by NDC 42217-201 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
42217-201-10
Package Description
10 PATCH in 1 BOX / 1 g in 1 PATCH
Product Code
42217-201
11-Digit Billing Format
42217020110
RxNorm Crosswalk
  • RxCUI: 1490792 - camphor 3 % / menthol 1.5 % / methyl salicylate 2.5 % Medicated Patch
  • RxCUI: 1490792 - camphor 0.03 MG/MG / menthol 0.015 MG/MG / methyl salicylate 0.025 MG/MG Medicated Patch

Clinical Specifications

Proprietary Name
Shang Shi Zhi Tong Gao
Dosage Form
-
Usage Information
This product is used as Camphor   External AnalgesicMenthol     External AnalgesicMethyl Salicylate   External Analgesic. To relieve the rheumatic pain and arthralgia by promoting blood circulation, used for rheumatoid arthristis muscular aches, sprain etc.

Regulatory & Marketing

Labeler Name
Henan Lingrui Pharmaceutical Co.; Ltd
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
06-02-2010
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 42217-201-10 identifies a specific commercial package of 10 patch in 1 box / 1 g in 1 patch of Shang Shi Zhi Tong Gao, labeled by Henan Lingrui Pharmaceutical Co.; Ltd. 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 Henan Lingrui Pharmaceutical Co.; Ltd on June 02, 2010. The current certification is valid through December 31, 2017.

How is this Henan Lingrui Pharmaceutical Co.; Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42217020110. 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)
42217-201-10
11-Digit CMS (5-4-2)
42217-0201-10

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