Pearlescent
NDC Package 57468-708-05

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.

Pearlescent is a . Marketed by Boelter Companies Inc., this product is identified by NDC 57468-708 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
57468-708-05
Package Description
3780 mL in 1 JUG
Product Code
57468-708
11-Digit Billing Format
57468070805

Clinical Specifications

Proprietary Name
Pearlescent
Dosage Form
-

Regulatory & Marketing

Labeler Name
Boelter Companies Inc.
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-18-2013
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 57468-708-05 identifies a specific commercial package of 3780 ml in 1 jug of Pearlescent, labeled by Boelter Companies Inc.. 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 Boelter Companies Inc. on March 18, 2013. The current certification is valid through October 01, 2025.

How is this Boelter Companies Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 57468070805. 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)
57468-708-05
11-Digit CMS (5-4-2)
57468-0708-05

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