Mata Balm
NDC Package 58167-112-30

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.

Mata Balm is apply thin layer to or rub gently upon the desired area or inhale as needed. Marketed by Amata Llc, this product is identified by NDC 58167-112 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
58167-112-30
Package Description
1 JAR in 1 BOX / 30 g in 1 JAR
Product Code
58167-112
11-Digit Billing Format
58167011230
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Mata Balm
Dosage Form
-
Usage Information
Apply thin layer to or rub gently upon the desired area or inhale as needed. Repeat 3 to 4 times daily. For infants under 12 months of age, consult physician before use

Regulatory & Marketing

Labeler Name
Amata Llc
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
04-27-2013
Listing Expiration
12-31-2017
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 58167-112-30 identifies a specific commercial package of 1 jar in 1 box / 30 g in 1 jar of Mata Balm, labeled by Amata Llc. 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 Amata Llc on April 27, 2013. The current certification is valid through December 31, 2017.

How is this Amata Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58167011230. 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)
58167-112-30
11-Digit CMS (5-4-2)
58167-0112-30

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