Perifoam
NDC Package 59243-110-08

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.

Perifoam is a medication used as PeriFoam™ is a safe, non-stinging foaming cleanser, which effectively kills odors and microorganisms on the skin, including the perineal area and around stoma sites and gastro-intestinal tube entry paints. Marketed by Sage Pharmaceuticals, Inc., this product is identified by NDC 59243-110 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
59243-110-08
Package Description
237 mL in 1 BOTTLE, SPRAY
Product Code
59243-110
11-Digit Billing Format
59243011008
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Perifoam
Dosage Form
-
Usage Information
This product is used as PeriFoam™ is a safe, non-stinging foaming cleanser, which effectively kills odors and microorganisms on the skin, including the perineal area and around stoma sites and gastro-intestinal tube entry paints. PeriFoam™ will not bum or cause discomfort on irritated or tender skin, but will gently soften and moisturize as it cleans.

Regulatory & Marketing

Labeler Name
Sage Pharmaceuticals, Inc.
FDA Application #
part333A
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
11-21-2000
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 59243-110-08 identifies a specific commercial package of 237 ml in 1 bottle, spray of Perifoam, labeled by Sage Pharmaceuticals, 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 Sage Pharmaceuticals, Inc. on November 21, 2000. The current certification is valid through December 31, 2017.

How is this Sage Pharmaceuticals, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59243011008. 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)
59243-110-08
11-Digit CMS (5-4-2)
59243-0110-08

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