Complexion Clear Acne Treatment Rejuvenating
NDC Package 42876-003-30

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 inactivated by the FDA.

Complexion Clear Acne Treatment Rejuvenating is clean skin thoroughly before applying this product.Cover the entire affected area with a thin layer one to three times daily. Marketed by Results Rna, Llc, this product is identified by NDC 42876-003 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
42876-003-30
Package Description
30 mL in 1 BOTTLE
Product Code
42876-003
11-Digit Billing Format
42876000330
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Complexion Clear Acne Treatment Rejuvenating
Dosage Form
-
Usage Information
Clean skin thoroughly before applying this product.Cover the entire affected area with a thin layer one to three times daily. Because excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctor.If bothersome dryness or peeling occurs, reduce application to once day or every other day. If going outside, apply sunscreen after using this product. If irritation or sensitivity develops, stop use of both products and ask a doctor.

Regulatory & Marketing

Labeler Name
Results Rna, Llc
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
11-07-2012
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (42876-003). Click a package code to view its specific billing and regulatory data.

42876-003-60
60 mL in 1 BOTTLE

* 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 42876-003-30 identifies a specific commercial package of 30 ml in 1 bottle of Complexion Clear Acne Treatment Rejuvenating, labeled by Results Rna, Llc. 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 Results Rna, Llc on November 07, 2012. The current certification is valid through December 31, 2017.

How is this Results Rna, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42876000330. 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)
42876-003-30
11-Digit CMS (5-4-2)
42876-0003-30

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