Aqua Kavi
NDC Package 42771-0002-1

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Aqua Kavi is uses for the treatment and prevention of oily, acne-prone skin directions▪ use as a replacement to your existing cleanser(s) ▪ lather using warm water and cleanse affected areas ▪ rinse and pat dry ▪ cleanse once to three times per day ▪ monitor skin for dryness or irritation and reduce application as needed. Marketed by Kavi Skin Solutions, Inc., this product is identified by NDC 42771-0002 and is authorized under FDA application part358H.

Identification & Billing

NDC Package Code
42771-0002-1
Package Description
1 g in 1 BOX
Product Code
11-Digit Billing Format
42771000201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Aqua Kavi
Dosage Form
-
Usage Information
Uses for the treatment and prevention of oily, acne-prone skin directions▪ use as a replacement to your existing cleanser(s) ▪ lather using warm water and cleanse affected areas ▪ rinse and pat dry ▪ cleanse once to three times per day ▪ monitor skin for dryness or irritation and reduce application as needed

Regulatory & Marketing

Labeler Name
Kavi Skin Solutions, Inc.
FDA Application #
part358H
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-01-2003
Listing Expiration
12-31-2022
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 42771-0002-1 identifies a specific commercial package of 1 g in 1 box of Aqua Kavi, labeled by Kavi Skin Solutions, 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 Kavi Skin Solutions, Inc. on May 01, 2003. The current certification is valid through December 31, 2022.

How is this Kavi Skin Solutions, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42771000201. 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 (5-4-1)
42771-0002-1
11-Digit CMS (5-4-2)
42771-0002-01

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