Spf Rx - Spf 15 Spearmint Lip Balm
NDC Package 55628-9575-0

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.

Spf Rx - Spf 15 Spearmint Lip Balm is a . Marketed by Cal Pharma Llc, this product is identified by NDC 55628-9575 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
55628-9575-0
Package Description
4.2 g in 1 TUBE
Product Code
55628-9575
11-Digit Billing Format
55628957500

Clinical Specifications

Proprietary Name
Spf Rx - Spf 15 Spearmint Lip Balm
Dosage Form
-

Regulatory & Marketing

Labeler Name
Cal Pharma Llc
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-31-2017
End Marketing Date
12-31-2023
Listing Expiration
12-31-2023
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 55628-9575-0 identifies a specific commercial package of 4.2 g in 1 tube of Spf Rx - Spf 15 Spearmint Lip Balm, labeled by Cal Pharma 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 Cal Pharma Llc on July 31, 2017. The current certification is valid through December 31, 2023.

How is this Cal Pharma Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55628957500. 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)
55628-9575-0
11-Digit CMS (5-4-2)
55628-9575-00

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