Iodine Tincture
NDC Package 65055-102-01

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.

Iodine Tincture is a . Marketed by Laboratorios Jaloma, S.a. De C.v., this product is identified by NDC 65055-102 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
65055-102-01
Package Description
40 mL in 1 BOTTLE, PLASTIC
Product Code
65055-102
11-Digit Billing Format
65055010201

Clinical Specifications

Proprietary Name
Iodine Tincture
Dosage Form
-

Regulatory & Marketing

Labeler Name
Laboratorios Jaloma, S.a. De C.v.
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
09-21-2016
End Marketing Date
10-21-2016
Listing Expiration
10-21-2016
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 65055-102-01 identifies a specific commercial package of 40 ml in 1 bottle, plastic of Iodine Tincture, labeled by Laboratorios Jaloma, S.a. De C.v.. 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 Laboratorios Jaloma, S.a. De C.v. on September 21, 2016. The current certification is valid through October 21, 2016.

How is this Laboratorios Jaloma, S.a. De C.v. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65055010201. 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)
65055-102-01
11-Digit CMS (5-4-2)
65055-0102-01

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