Family Dollar Acne Treatment
NDC Package 55319-203-13

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.

Family Dollar Acne Treatment is directionscleanse the skin thoroughly before applying medication cover the entire affected area with a thin layer one to three times a daybecause excessive drying of the skin may occur, start with one application daily, then gradually increase to two to three times daily if needed or as directed by a doctor. Marketed by Family Dollar, this product is identified by NDC 55319-203 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
55319-203-13
Package Description
1 TUBE in 1 CARTON / 28 g in 1 TUBE
Product Code
55319-203
11-Digit Billing Format
55319020313
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Family Dollar Acne Treatment
Dosage Form
-
Usage Information
Directionscleanse the skin thoroughly before applying medication cover the entire affected area with a thin layer one to three times a daybecause excessive drying of the skin may occur, start with one application daily, then gradually increase to two to three times daily if needed or as directed by a doctor. If bothersome dryness or peeling occurs, reduce application to once a day or every other dayuse to prevent new pimples from forming

Regulatory & Marketing

Labeler Name
Family Dollar
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-20-2012
Listing Expiration
12-31-2021
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 55319-203-13 identifies a specific commercial package of 1 tube in 1 carton / 28 g in 1 tube of Family Dollar Acne Treatment, labeled by Family Dollar. 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 Family Dollar on January 20, 2012. The current certification is valid through December 31, 2021.

How is this Family Dollar product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55319020313. 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)
55319-203-13
11-Digit CMS (5-4-2)
55319-0203-13

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