Oxyrub Pain Relief
NDC Package 65121-113-04

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.

Oxyrub Pain Relief is a . Marketed by Pure Source, Llc, this product is identified by NDC 65121-113 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
65121-113-04
Package Description
114 g in 1 TUBE
Product Code
65121-113
11-Digit Billing Format
65121011304

Clinical Specifications

Proprietary Name
Oxyrub Pain Relief
Dosage Form
-

Regulatory & Marketing

Labeler Name
Pure Source, Llc
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2013
End Marketing Date
12-01-2020
Listing Expiration
12-01-2020
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 65121-113-04 identifies a specific commercial package of 114 g in 1 tube of Oxyrub Pain Relief, labeled by Pure Source, Llc. 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 Pure Source, Llc on May 01, 2013. The current certification is valid through December 01, 2020.

How is this Pure Source, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65121011304. 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)
65121-113-04
11-Digit CMS (5-4-2)
65121-0113-04

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