Drx Blemish Clarifying Mask Lotion
NDC Package 58633-704-10

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

Package Information

Drx Blemish Clarifying Mask (sulfur) lotions is clean the skin thoroughly before applying this product cover the entire affected area with a thin layer one to three times daily. This formulation utilizes a lotion delivery system. Marketed by Dr. Dennis Gross Skincare, this product is identified by NDC 58633-704 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
58633-704-10
Package Description
1 TUBE in 1 BOX / 30 mL in 1 TUBE
Product Code
58633-704
11-Digit Billing Format
58633070410
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Drx Blemish Clarifying Mask
Non-Proprietary Name
Sulfur
Substance Name
Sulfur
Dosage Form
Lotion - An emulsion, liquid1 dosage form. This dosage form is generally for external application to the skin.2
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)
SULFUR 50 mg/mL
Usage Information
Clean the skin thoroughly before applying this product cover the entire affected area with a thin layer one to three times daily. Leave on for at least 10 minutes, then rinse. for use as a deeper treatment, apply a thick layer to targeted area as a spot treatment or as an overnight mask. Wash off in the morning. suitable for use on face, chest, and back if bothersome dryness or peeling occurs, reduce application to once a day or every other day because excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctor

Regulatory & Marketing

Labeler Name
Dr. Dennis Gross Skincare
Product Type
Human Otc Drug
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-01-2020
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 58633-704-10 identifies a specific commercial package of 1 tube in 1 box / 30 ml in 1 tube of Drx Blemish Clarifying Mask, a human over the counter drug labeled by Dr. Dennis Gross Skincare. This lotion is formulated for topical use and contains 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 Dr. Dennis Gross Skincare on March 01, 2020. The current certification is valid through December 31, 2026.

How is this Dr. Dennis Gross Skincare product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58633070410. 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)
58633-704-10
11-Digit CMS (5-4-2)
58633-0704-10

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