Ctx4 Gel 1100
NDC Package 61578-207-01

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 discontinued by the firm.

Ctx4 Gel 1100 is a . Marketed by Dental Alliance Holdings Llc, this product is identified by NDC 61578-207 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
61578-207-01
Package Description
56.699 g in 1 TUBE, WITH APPLICATOR
Product Code
61578-207
11-Digit Billing Format
61578020701

Clinical Specifications

Proprietary Name
Ctx4 Gel 1100 Grape
Dosage Form
-

Regulatory & Marketing

Labeler Name
Dental Alliance Holdings Llc
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-01-2012
End Marketing Date
09-30-2022
Listing Expiration
09-30-2022
Exclude Flag
D
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 61578-207-01 identifies a specific commercial package of 56.699 g in 1 tube, with applicator of Ctx4 Gel 1100 Grape, labeled by Dental Alliance Holdings 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 Dental Alliance Holdings Llc on May 01, 2012. The current certification is valid through September 30, 2022.

How is this Dental Alliance Holdings Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 61578020701. 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)
61578-207-01
11-Digit CMS (5-4-2)
61578-0207-01

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