Cvs Pharmacy
NDC Package 48871-000-00

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 inactivated by the FDA.

Cvs Pharmacy is adults and children 2 years of age and older:clean the affected areaspray a small amount of this product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstChildren under 2 years of age: consult a doctor. Marketed by Health-tech, Inc., this product is identified by NDC 48871-000 and is authorized under FDA application part310.545.

Identification & Billing

NDC Package Code
48871-000-00
Package Description
12 CARTON in 1 BOX / 6 BLISTER PACK in 1 CARTON / 1 BOTTLE, SPRAY in 1 BLISTER PACK / 15 mL in 1 BOTTLE, SPRAY
Product Code
48871-000
11-Digit Billing Format
48871000000
RxNorm Crosswalk
  • RxCUI: 1049123 - benzalkonium Cl 0.13 % / pramoxine HCl 1 % Topical Spray
  • RxCUI: 1049123 - benzalkonium chloride 1.3 MG/ML / pramoxine hydrochloride 10 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
Cvs Pharmacy
Dosage Form
-
Usage Information
Adults and children 2 years of age and older:clean the affected areaspray a small amount of this product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstChildren under 2 years of age: consult a doctor

Regulatory & Marketing

Labeler Name
Health-tech, Inc.
FDA Application #
part310.545
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-19-2010
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 48871-000-00 identifies a specific commercial package of 12 carton in 1 box / 6 blister pack in 1 carton / 1 bottle, spray in 1 blister pack / 15 ml in 1 bottle, spray of Cvs Pharmacy, labeled by Health-tech, 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 Health-tech, Inc. on January 19, 2010. The current certification is valid through December 31, 2017.

How is this Health-tech, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 48871000000. 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)
48871-000-00
11-Digit CMS (5-4-2)
48871-0000-00

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