Dermabon Multi Symptom Psoriasis Control Soap
NDC Package 49758-001-01

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

Dermabon Multi Symptom Psoriasis Control (coal tar) soaps is apply in affected areas, let it rest, and rinse. This formulation utilizes a soap delivery system. Marketed by Dermabon De Chihuahua, S.a. De C.v., this product is identified by NDC 49758-001 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
49758-001-01
Package Description
1 BAG in 1 CARTON / 90 g in 1 BAG
Product Code
49758-001
11-Digit Billing Format
49758000101
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dermabon Multi Symptom Psoriasis Control
Non-Proprietary Name
Coal Tar
Substance Name
Coal Tar
Dosage Form
Soap - Any compound of one or more fatty acids, or their equivalents, with an alkali; soap is detergent and is much employed in liniments, enemas, and in making pills. It is also a mild aperient, antacid and antiseptic.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
COAL TAR 21.3 mg/g
Usage Information
Apply in affected areas, let it rest, and rinse.

Regulatory & Marketing

Labeler Name
Dermabon De Chihuahua, S.a. De C.v.
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-01-2022
End Marketing Date
12-31-2028
Exclude Flag
N
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 (49758-001). Click a package code to view its specific billing and regulatory data.

49758-001-03
3 BAG in 1 CARTON / 90 g in 1 BAG
49758-001-06
6 BAG in 1 CARTON / 90 g in 1 BAG

* 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 49758-001-01 identifies a specific commercial package of 1 bag in 1 carton / 90 g in 1 bag of Dermabon Multi Symptom Psoriasis Control, a human over the counter drug labeled by Dermabon De Chihuahua, S.a. De C.v.. This soap is formulated for topical use and contains coal tar as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Dermabon De Chihuahua, S.a. De C.v. on July 01, 2022.

How is this Dermabon De Chihuahua, S.a. De C.v. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49758000101. 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)
49758-001-01
11-Digit CMS (5-4-2)
49758-0001-01

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