Good Neighbor Pharmacy Burn Relief
NDC Package 46122-113-21

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.

Good Neighbor Pharmacy Burn Relief is • shake well • adults and children 2 years of age andolder: apply to affected area not more than 3 to 4 times daily • childrenunder 2 years of age: ask a doctor • to apply to face, spray into palm ofhand and gently apply. Marketed by Amerisourcebergen Drug Corporation, this product is identified by NDC 46122-113 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
46122-113-21
Package Description
127 g in 1 BOTTLE, SPRAY
Product Code
46122-113
11-Digit Billing Format
46122011321
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
127 GM
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Good Neighbor Pharmacy Burn Relief Aloe Extra
Dosage Form
-
Usage Information
• shake well • adults and children 2 years of age andolder: apply to affected area not more than 3 to 4 times daily • childrenunder 2 years of age: ask a doctor • to apply to face, spray into palm ofhand and gently apply

Regulatory & Marketing

Labeler Name
Amerisourcebergen Drug Corporation
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
10-28-2011
Listing Expiration
12-31-2019
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 46122-113-21 identifies a specific commercial package of 127 g in 1 bottle, spray of Good Neighbor Pharmacy Burn Relief Aloe Extra, labeled by Amerisourcebergen Drug Corporation. 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 Amerisourcebergen Drug Corporation on October 28, 2011. The current certification is valid through December 31, 2019.

How is this Amerisourcebergen Drug Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 46122011321. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 127 total billable units per package. 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)
46122-113-21
11-Digit CMS (5-4-2)
46122-0113-21

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