Alpha One
NDC Package 53152-2004-1

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 inactivated by the FDA.

Alpha One is usesHealth care antiseptic for preparation of the skin prior to surgeryFirst aid antiseptic to help reducce bacteria that potentially can cause skin infectionFor hospital and professional use. Marketed by Aoss Medical Supply, Inc., this product is identified by NDC 53152-2004 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
53152-2004-1
Package Description
118 mL in 1 BOTTLE, PLASTIC
Product Code
53152-2004
11-Digit Billing Format
53152200401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Alpha One
Dosage Form
-
Usage Information
UsesHealth care antiseptic for preparation of the skin prior to surgeryFirst aid antiseptic to help reducce bacteria that potentially can cause skin infectionFor hospital and professional use

Regulatory & Marketing

Labeler Name
Aoss Medical Supply, Inc.
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
10-24-2019
Listing Expiration
12-31-2020
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 53152-2004-1 identifies a specific commercial package of 118 ml in 1 bottle, plastic of Alpha One, labeled by Aoss Medical Supply, 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 Aoss Medical Supply, Inc. on October 24, 2019. The current certification is valid through December 31, 2020.

How is this Aoss Medical Supply, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53152200401. 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)
53152-2004-1
11-Digit CMS (5-4-2)
53152-2004-01

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