Dg Health Tioconazole 1 Ointment
NDC Package 55910-731-54

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Dg Health Tioconazole 1 (tioconazole) ointment is •before using this product, read the enclosed brochure and instructions on printed packet for complete directions and information•adults and children 12 years of age and over:•open the printed packet just before use and remove purple cap•insert entire contents of applicator into the vagina at bedtime. This formulation utilizes a ointment delivery system. Marketed by Dolgencorp, Llc, this product is identified by NDC 55910-731 and is authorized under FDA application ANDA075915.

Identification & Billing

NDC Package Code
55910-731-54
Package Description
1 POUCH in 1 CARTON / 1 APPLICATOR in 1 POUCH / 4.6 g in 1 APPLICATOR
Product Code
55910-731
11-Digit Billing Format
55910073154
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dg Health Tioconazole 1
Non-Proprietary Name
Tioconazole
Substance Name
Tioconazole
Dosage Form
Ointment - A semisolid3 dosage form, usually containing <20% water and volatiles5 and >50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
Administration Route
Vaginal - Administration into the vagina.
Active Ingredient(s)
TIOCONAZOLE 6.5 g/100g
Pharmacologic Class
Usage Information
•before using this product, read the enclosed brochure and instructions on printed packet for complete directions and information•adults and children 12 years of age and over:•open the printed packet just before use and remove purple cap•insert entire contents of applicator into the vagina at bedtime. Throw applicator away after use.•children under 12 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Dolgencorp, Llc
Product Type
Human Otc Drug
FDA Application #
ANDA075915
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
03-01-2019
Listing Expiration
12-31-2026
Exclude Flag
N
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 55910-731-54 identifies a specific commercial package of 1 pouch in 1 carton / 1 applicator in 1 pouch / 4.6 g in 1 applicator of Dg Health Tioconazole 1, a human over the counter drug labeled by Dolgencorp, Llc. This ointment is formulated for vaginal use and contains tioconazole as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Dolgencorp, Llc on March 01, 2019. The current certification is valid through December 31, 2026.

How is this Dolgencorp, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55910073154. 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)
55910-731-54
11-Digit CMS (5-4-2)
55910-0731-54

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