Acne Tx Mask
NDC Package 62742-4050-1

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.

Acne Tx Mask is iNDICATIONS AND USAGE:Formulated as a home treatment for acne-prone skin, this mask gently exfoliates the skin's surface with jojoba beads, allowing the follicular-oxidizing benefits of Benzoyl Peroxide to penetrate and take effect. Marketed by Allure Labs, Inc., this product is identified by NDC 62742-4050 and is authorized under FDA application part333.

Identification & Billing

NDC Package Code
62742-4050-1
Package Description
118.3 mL in 1 TUBE
Product Code
62742-4050
11-Digit Billing Format
62742405001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Acne Tx Mask
Dosage Form
-
Usage Information
INDICATIONS AND USAGE:Formulated as a home treatment for acne-prone skin, this mask gently exfoliates the skin's surface with jojoba beads, allowing the follicular-oxidizing benefits of Benzoyl Peroxide to penetrate and take effect. Plant extracts and MSM are also included to increase healing time and assist in preventing future breakouts.DIRECTIONS:Apply to cleansed skin using fingertips. Massage gently in circular movements for 1-2 minutes and then allow the product to remain on the skin for an additional 5-10 minutes, depending on skin tolerance and/or sensitivity. Avoid the eye area. Rinse well and follow suggested post-mark home care reigimen. Use this product according the recommendations of your skin care professional. Skip the massage step with Grade 3 and 4 Acne.

Regulatory & Marketing

Labeler Name
Allure Labs, Inc.
FDA Application #
part333
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-01-2010
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 62742-4050-1 identifies a specific commercial package of 118.3 ml in 1 tube of Acne Tx Mask, labeled by Allure Labs, 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 Allure Labs, Inc. on January 01, 2010. The current certification is valid through December 31, 2017.

How is this Allure Labs, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 62742405001. 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)
62742-4050-1
11-Digit CMS (5-4-2)
62742-4050-01

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