Povidone Iodine Prep
NDC Package 63517-132-01

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 inactivated by the FDA.

Povidone Iodine Prep is clean the affected area.For preparation of skin prior to surgeryApply product to the operative site prior to surgeryFor first aid antisepticApply a small amount of this product on the area 1-3 times daily.May be covered with a sterile bandage.If bandaged, let dry first. Marketed by Cardinal Health, this product is identified by NDC 63517-132 and is authorized under FDA application part333C.

Identification & Billing

NDC Package Code
63517-132-01
Package Description
500 POUCH in 1 CASE / 22.2 mL in 1 POUCH
Product Code
63517-132
11-Digit Billing Format
63517013201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Povidone Iodine Prep
Dosage Form
-
Usage Information
Clean the affected area.For preparation of skin prior to surgeryApply product to the operative site prior to surgeryFor first aid antisepticApply a small amount of this product on the area 1-3 times daily.May be covered with a sterile bandage.If bandaged, let dry first.

Regulatory & Marketing

Labeler Name
Cardinal Health
FDA Application #
part333C
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
08-26-2015
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 63517-132-01 identifies a specific commercial package of 500 pouch in 1 case / 22.2 ml in 1 pouch of Povidone Iodine Prep, labeled by Cardinal Health. 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 Cardinal Health on August 26, 2015. The current certification is valid through December 31, 2023.

How is this Cardinal Health product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63517013201. 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)
63517-132-01
11-Digit CMS (5-4-2)
63517-0132-01

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