Health Mart Hydrogen Peroxide 3 Percent Liquid
NDC Package 62011-0267-2

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

Package Information

Health Mart Hydrogen Peroxide 3 Percent (hydrogen peroxide) liquids is for antiseptic use: Clean the affected area, apply a small amount on the area 1 to 3 times daily.For oral rinse use: Adults and children 2 years and older mix with an equal amount of water and swish around and over the affected area then spit out. This formulation utilizes a liquid delivery system. Marketed by Strategic Sourcing Services Llc, this product is identified by NDC 62011-0267 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
62011-0267-2
Package Description
237 mL in 1 BOTTLE, PLASTIC
Product Code
62011-0267
11-Digit Billing Format
62011026702
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
237 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Health Mart Hydrogen Peroxide 3 Percent
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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)
HYDROGEN PEROXIDE 30 mg/mL
Usage Information
For antiseptic use: Clean the affected area, apply a small amount on the area 1 to 3 times daily.For oral rinse use: Adults and children 2 years and older mix with an equal amount of water and swish around and over the affected area then spit out. Use up to 4 times daily or as directed by a dentist or a doctor.Children under 2 years of age: consult a doctor.

Regulatory & Marketing

Labeler Name
Strategic Sourcing Services Llc
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2016
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (62011-0267). Click a package code to view its specific billing and regulatory data.

62011-0267-1
118 mL in 1 BOTTLE
62011-0267-3
473 mL in 1 BOTTLE, PLASTIC

* 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 62011-0267-2 identifies a specific commercial package of 237 ml in 1 bottle, plastic of Health Mart Hydrogen Peroxide 3 Percent, a human over the counter drug labeled by Strategic Sourcing Services Llc. This liquid is formulated for topical use and contains hydrogen peroxide 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 Strategic Sourcing Services Llc on January 01, 2016. The current certification is valid through December 31, 2026.

How is this Strategic Sourcing Services Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 62011026702. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 237 total billable units per package. 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)
62011-0267-2
11-Digit CMS (5-4-2)
62011-0267-02

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