Poison Oak And Ivy
NDC Package 57479-102-01

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.

Poison Oak And Ivy is uSES: POISON OAK, POISON SUMAC, POISON IVY, MOSQUITO BITES, OTHER ALLERGIC RASHES. Marketed by Demartini Spring Hill Pharmacy, Inc., this product is identified by NDC 57479-102 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
57479-102-01
Package Description
103 mL in 1 TUBE
Product Code
57479-102
11-Digit Billing Format
57479010201

Clinical Specifications

Proprietary Name
Poison Oak And Ivy
Dosage Form
-
Usage Information
USES: POISON OAK, POISON SUMAC, POISON IVY, MOSQUITO BITES, OTHER ALLERGIC RASHES.

Regulatory & Marketing

Labeler Name
Demartini Spring Hill Pharmacy, Inc.
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
08-24-2023
Listing Expiration
12-31-2024
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 57479-102-01 identifies a specific commercial package of 103 ml in 1 tube of Poison Oak And Ivy, labeled by Demartini Spring Hill Pharmacy, 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 Demartini Spring Hill Pharmacy, Inc. on August 24, 2023. The current certification is valid through December 31, 2024.

How is this Demartini Spring Hill Pharmacy, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 57479010201. 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)
57479-102-01
11-Digit CMS (5-4-2)
57479-0102-01

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