Plexion Cloth
NDC Package 57883-404-60

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

Package Information

Plexion (sulfacetamide sodium, sulfur) cloths is a medication indicated for use in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis. This formulation utilizes a cloth delivery system. Marketed by Brava Pharmaceuticals, Llc, this product is identified by NDC 57883-404.

Identification & Billing

NDC Package Code
57883-404-60
Package Description
60 PACKET in 1 CARTON / 4 g in 1 PACKET (57883-404-01)
Product Code
57883-404
11-Digit Billing Format
57883040460
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk
  • RxCUI: 1494170 - sulfacetamide sodium 9.8 % / sulfur 4.8 % Medicated Pad
  • RxCUI: 1494170 - sulfacetamide sodium 98 MG/ML / sulfur 48 MG/ML Medicated Pad
  • RxCUI: 1494170 - sulfacetamide sodium 9.8 % / sulfur 4.8 % Cleansing Cloth
  • RxCUI: 1494827 - Plexion 9.8 % / 4.8 % Medicated Pad
  • RxCUI: 1494827 - sulfacetamide sodium 98 MG/ML / sulfur 48 MG/ML Medicated Pad [Plexion]

Clinical Specifications

Proprietary Name
Plexion
Non-Proprietary Name
Sulfacetamide Sodium, Sulfur
Substance Name
Sulfacetamide Sodium; Sulfur
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
Pharmacologic Class
Usage Information
This product is indicated for use in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis.

Regulatory & Marketing

Labeler Name
Brava Pharmaceuticals, Llc
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
09-01-2005
End Marketing Date
07-31-2027
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (57883-404). Click a package code to view its specific billing and regulatory data.

57883-404-10
10 PACKET in 1 CARTON / 4 g in 1 PACKET (57883-404-01)

* 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 57883-404-60 identifies a specific commercial package of 60 packet in 1 carton / 4 g in 1 packet (57883-404-01) of Plexion, a human prescription drug labeled by Brava Pharmaceuticals, Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This cloth is formulated for topical use and contains sulfacetamide sodium; sulfur 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 Brava Pharmaceuticals, Llc on September 01, 2005.

How is this Brava Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 57883040460. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. 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)
57883-404-60
11-Digit CMS (5-4-2)
57883-0404-60

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