Antimicrobial 652
NDC Package 54679-0001-2

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.

Antimicrobial 652 is a . Marketed by Montgomery County Chapter Nysarc, Inc Dba Liberty Enterprises, this product is identified by NDC 54679-0001 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
54679-0001-2
Package Description
800 mL in 1 BAG
Product Code
54679-0001
11-Digit Billing Format
54679000102

Clinical Specifications

Proprietary Name
Antimicrobial 652
Dosage Form
-

Regulatory & Marketing

Labeler Name
Montgomery County Chapter Nysarc, Inc Dba Liberty Enterprises
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-1994
End Marketing Date
10-01-2025
Listing Expiration
10-01-2025
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 54679-0001-2 identifies a specific commercial package of 800 ml in 1 bag of Antimicrobial 652, labeled by Montgomery County Chapter Nysarc, Inc Dba Liberty Enterprises. 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 Montgomery County Chapter Nysarc, Inc Dba Liberty Enterprises on January 01, 1994. The current certification is valid through October 01, 2025.

How is this Montgomery County Chapter Nysarc, Inc Dba Liberty Enterprises product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54679000102. 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)
54679-0001-2
11-Digit CMS (5-4-2)
54679-0001-02

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