Prostat Blood Clotting First Aid
NDC Package 58228-0103-3

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.

Prostat Blood Clotting First Aid is shake can well before usinghold 6-8 inches from moist injured areaspray until area is coveredscab-like cover will gradually disappear as healing takes place or may be removed with soap and waterfor adult institutional use onlynot intended for use on children . Marketed by Prostat First Aid, this product is identified by NDC 58228-0103 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
58228-0103-3
Package Description
85 g in 1 BOTTLE, SPRAY
Product Code
58228-0103
11-Digit Billing Format
58228010303
RxNorm Crosswalk
  • RxCUI: 1545716 - benzethonium Cl 0.2 % / lidocaine 4 % Topical Spray
  • RxCUI: 1545716 - benzethonium chloride 2 MG/ML / lidocaine 40 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
Prostat Blood Clotting First Aid
Dosage Form
-
Usage Information
Shake can well before usinghold 6-8 inches from moist injured areaspray until area is coveredscab-like cover will gradually disappear as healing takes place or may be removed with soap and waterfor adult institutional use onlynot intended for use on children 

Regulatory & Marketing

Labeler Name
Prostat First Aid
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
02-18-2014
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 58228-0103-3 identifies a specific commercial package of 85 g in 1 bottle, spray of Prostat Blood Clotting First Aid, labeled by Prostat First Aid. 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 Prostat First Aid on February 18, 2014. The current certification is valid through December 31, 2017.

How is this Prostat First Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58228010303. 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 (5-4-1)
58228-0103-3
11-Digit CMS (5-4-2)
58228-0103-03

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