Clean And Polish Luxury
NDC Package 44873-005-00

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.

Clean And Polish Luxury is a . Marketed by Go Smile, Inc., this product is identified by NDC 44873-005 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
44873-005-00
Package Description
100 g in 1 TUBE
Product Code
44873-005
11-Digit Billing Format
44873000500

Clinical Specifications

Proprietary Name
Clean And Polish Luxury
Dosage Form
-

Regulatory & Marketing

Labeler Name
Go Smile, Inc.
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-17-2012
End Marketing Date
10-27-2015
Listing Expiration
10-27-2015
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 44873-005-00 identifies a specific commercial package of 100 g in 1 tube of Clean And Polish Luxury, labeled by Go Smile, 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 Go Smile, Inc. on May 17, 2012. The current certification is valid through October 27, 2015.

How is this Go Smile, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 44873000500. 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)
44873-005-00
11-Digit CMS (5-4-2)
44873-0005-00

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