3 Hydrogen Peroxide
NDC Package 51628-5000-1

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.

3 Hydrogen Peroxide is a . Marketed by My Imports Usa Llc, this product is identified by NDC 51628-5000 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
51628-5000-1
Package Description
295 mL in 1 BOTTLE
Product Code
51628-5000
11-Digit Billing Format
51628500001

Clinical Specifications

Proprietary Name
3 Hydrogen Peroxide
Dosage Form
-

Regulatory & Marketing

Labeler Name
My Imports Usa Llc
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-10-2021
End Marketing Date
09-01-2025
Listing Expiration
09-01-2025
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 51628-5000-1 identifies a specific commercial package of 295 ml in 1 bottle of 3 Hydrogen Peroxide, labeled by My Imports Usa Llc. 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 My Imports Usa Llc on January 10, 2021. The current certification is valid through September 01, 2025.

How is this My Imports Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51628500001. 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 (5-4-1)
51628-5000-1
11-Digit CMS (5-4-2)
51628-5000-01

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