Salicylic Acid Patch
NDC Package 56104-258-01

11-digit billing NDC: 56104025801
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Salicylic Acid (clear medicated corn removers) patches is wash affected area and dry area thoroughly.if necessary, cut medicated disc to fit the corn.carefully apply the medicated with sticky side onto the corncover the medicated disc with the center of the bandage strip.after 48 hours, remove the medicated bandage strip.repeat this procedure every 48 hours as needed for up to 14 days (until corn is removed).may soak corn in warm water for 5 minutes to assist in removal. This formulation utilizes a patch delivery system. Marketed by Premier Brands Of America Inc., this product is identified by NDC 56104-258 and is authorized under FDA application M030.

Identification & Billing

NDC Package Code
56104-258-01
Package Description
6 PATCH in 1 PACKAGE
Product Code
56104-258
11-Digit Billing Format
56104025801
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Salicylic Acid
Non-Proprietary Name
Clear Medicated Corn Removers
Substance Name
Salicylic Acid
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
SALICYLIC ACID 40 mg/121
Usage Information
Wash affected area and dry area thoroughly.if necessary, cut medicated disc to fit the corn.carefully apply the medicated with sticky side onto the corncover the medicated disc with the center of the bandage strip.after 48 hours, remove the medicated bandage strip.repeat this procedure every 48 hours as needed for up to 14 days (until corn is removed).may soak corn in warm water for 5 minutes to assist in removal.

Regulatory & Marketing

Labeler Name
Premier Brands Of America Inc.
Product Type
Human Otc Drug
FDA Application #
M030
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-22-2022
Listing Expiration
12-31-2027
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 56104-258-01 identifies a specific commercial package of 6 patch in 1 package of Salicylic Acid, a human over the counter drug labeled by Premier Brands Of America Inc.. This patch is formulated for topical use and contains salicylic acid 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 Premier Brands Of America Inc. on February 22, 2022. The current certification is valid through December 31, 2027.

How is this Premier Brands Of America Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 56104025801. 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)
56104-258-01
11-Digit CMS (5-4-2)
56104-0258-01

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