Vivant Sulfur Clay Mask Paste
NDC Package 63750-006-04

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

Package Information

Vivant Sulfur Clay Mask (sulfur) pastes is directions ■ Cleanse the skin thoroughly before applying medication. This formulation utilizes a paste delivery system. Marketed by Vivant Pharmaceuticals, Llc, this product is identified by NDC 63750-006 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
63750-006-04
Package Description
118 mL in 1 JAR
Product Code
63750-006
11-Digit Billing Format
63750000604
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Vivant Sulfur Clay Mask
Non-Proprietary Name
Sulfur
Substance Name
Sulfur
Dosage Form
Paste - A semisolid3 dosage form, containing a large proportion (20 – 50%) of solids finely dispersed in a fatty vehicle. This dosage form is generally for external application to the skin or mucous membranes.
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)
SULFUR 10 g/100mL
Usage Information
Directions ■ Cleanse the skin thoroughly before applying medication. Apply a generous layer of the mask to face avoiding the eye area. After fifteen minutes, wash off thoroughly. Follow with the recommended Vivant product. Since drying of the skin may occur, start with one application weekly; then gradually increase to two or three times weekly if needed or as directed by a doctor. If bothersome dryness or peeling occurs, reduce application to once a week.

Regulatory & Marketing

Labeler Name
Vivant Pharmaceuticals, Llc
Product Type
Human Otc Drug
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-01-2024
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 63750-006-04 identifies a specific commercial package of 118 ml in 1 jar of Vivant Sulfur Clay Mask, a human over the counter drug labeled by Vivant Pharmaceuticals, Llc. This paste is formulated for topical use and contains sulfur 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 Vivant Pharmaceuticals, Llc on February 01, 2024. The current certification is valid through December 31, 2026.

How is this Vivant Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63750000604. 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)
63750-006-04
11-Digit CMS (5-4-2)
63750-0006-04

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