Diaper Rash
NDC Package 50804-079-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Diaper Rash is change wet and soiled diapers promptlycleanse the diaper areaallow to dryapply ointment liberally as often as necessary, with each diaper change, especially at bedtime or any time when exposure to wet diapers may be prolonged. Marketed by Goodsense, this product is identified by NDC 50804-079 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
50804-079-01
Package Description
1 TUBE in 1 CARTON / 56.7 g in 1 TUBE
Product Code
11-Digit Billing Format
50804007901
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
56.7 GM
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Diaper Rash
Dosage Form
-
Usage Information
Change wet and soiled diapers promptlycleanse the diaper areaallow to dryapply ointment liberally as often as necessary, with each diaper change, especially at bedtime or any time when exposure to wet diapers may be prolonged

Regulatory & Marketing

Labeler Name
Goodsense
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-29-2020
Listing Expiration
12-31-2024
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 50804-079-01 identifies a specific commercial package of 1 tube in 1 carton / 56.7 g in 1 tube of Diaper Rash, labeled by Goodsense. This product is billed per "GM" gram and contains an estimated amount of 56.7 billable units per package. 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 Goodsense on May 29, 2020. The current certification is valid through December 31, 2024.

How is this Goodsense product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 50804007901. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 56.7 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)
50804-079-01
11-Digit CMS (5-4-2)
50804-0079-01

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