Kirkland Signature Pro-complete
NDC Package 63981-101-01

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.

Kirkland Signature Pro-complete is a . Marketed by Costco Wholesale Corporation, this product is identified by NDC 63981-101 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
63981-101-01
Package Description
1 TUBE in 1 CARTON / 212.6 g in 1 TUBE
Product Code
63981-101
11-Digit Billing Format
63981010101

Clinical Specifications

Proprietary Name
Kirkland Signature Pro-complete Plus Whitening
Dosage Form
-

Regulatory & Marketing

Labeler Name
Costco Wholesale Corporation
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-01-2016
End Marketing Date
07-31-2018
Listing Expiration
07-31-2018
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 63981-101-01 identifies a specific commercial package of 1 tube in 1 carton / 212.6 g in 1 tube of Kirkland Signature Pro-complete Plus Whitening, labeled by Costco Wholesale Corporation. 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 Costco Wholesale Corporation on September 01, 2016. The current certification is valid through July 31, 2018.

How is this Costco Wholesale Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63981010101. 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)
63981-101-01
11-Digit CMS (5-4-2)
63981-0101-01

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