Formaldehyde
NDC Package 51991-512-19

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.

Formaldehyde is a medication used as an antiperspirant to treat feet that sweat or smell excessively. Marketed by Breckenridge Pharmaceutical, Inc., this product is identified by NDC 51991-512.

Identification & Billing

NDC Package Code
51991-512-19
Package Description
1 BOTTLE, WITH APPLICATOR in 1 CARTON / 88.72059 mL in 1 BOTTLE, WITH APPLICATOR
Product Code
51991-512
11-Digit Billing Format
51991051219

Clinical Specifications

Proprietary Name
Formaldehyde
Dosage Form
-
Usage Information
This medication is used as an antiperspirant to treat feet that sweat or smell excessively. It is also used as a drying agent during wart treatment.

Regulatory & Marketing

Labeler Name
Breckenridge Pharmaceutical, Inc.
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
01-01-2009
End Marketing Date
10-31-2010
Listing Expiration
10-31-2010
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 51991-512-19 identifies a specific commercial package of 1 bottle, with applicator in 1 carton / 88.72059 ml in 1 bottle, with applicator of Formaldehyde, labeled by Breckenridge Pharmaceutical, 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 Breckenridge Pharmaceutical, Inc. on January 01, 2009. The current certification is valid through October 31, 2010.

What are the primary indications for this medication?

This medication is used as an antiperspirant to treat feet that sweat or smell excessively. It is also used as a drying agent during wart treatment.

How is this Breckenridge Pharmaceutical, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51991051219. 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)
51991-512-19
11-Digit CMS (5-4-2)
51991-0512-19

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