Pacifica Acne Warrior Body Wash
NDC Package 61197-012-34

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.

Pacifica Acne Warrior Body Wash is use to cleanse face, back and other acne-prone areas every time you wash or several times a week for a deep clean. Marketed by Pacifica Beauty Llc, this product is identified by NDC 61197-012 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
61197-012-34
Package Description
355 mL in 1 BOTTLE
Product Code
61197-012
11-Digit Billing Format
61197001234
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pacifica Acne Warrior Body Wash
Dosage Form
-
Usage Information
Use to cleanse face, back and other acne-prone areas every time you wash or several times a week for a deep clean. Scrub gently. Rinse thoroughly.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 doctorif bothersome dryness or peeling occurs, reduce application to once a day or every other day. sensitivity test for a new user. Apply product sparingly to one or two small affected areas during the first 3 days. If no discomfort occurs, follow the directions stated above.

Regulatory & Marketing

Labeler Name
Pacifica Beauty Llc
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
06-15-2022
Listing Expiration
12-31-2023
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 61197-012-34 identifies a specific commercial package of 355 ml in 1 bottle of Pacifica Acne Warrior Body Wash, labeled by Pacifica Beauty 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 Pacifica Beauty Llc on June 15, 2022. The current certification is valid through December 31, 2023.

How is this Pacifica Beauty Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 61197001234. 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)
61197-012-34
11-Digit CMS (5-4-2)
61197-0012-34

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