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  5. NDC Package Code: 65121-496-04 Frankie Avalons Zero Pain Original Formula Roll-on Maximum Strength Pain Reliever

NDC Package 65121-496-04 Frankie Avalons Zero Pain Original Formula Roll-on Maximum Strength Pain Reliever

View Billable Units, 11-Digit Format, RxNorm

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.

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
65121-496-04
Package Description:
1 BOTTLE, WITH APPLICATOR in 1 BOX / 90 mL in 1 BOTTLE, WITH APPLICATOR
Product Code:
65121-496
Proprietary Name:
Frankie Avalons Zero Pain Original Formula Roll-on Maximum Strength Pain Reliever
11-Digit NDC Billing Format:
65121049604
Labeler Name:
Pure Source Inc.
Sample Package:
No
FDA Application Number:
part348
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:
07-10-2013
End Marketing Date:
10-14-2014
Listing Expiration Date:
10-14-2014
Exclude Flag:
D
Code Structure:

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 disclaimer below.

Frequently Asked Questions

What is NDC 65121-496-04?

The NDC Packaged Code 65121-496-04 is assigned to a package of 1 bottle, with applicator in 1 box / 90 ml in 1 bottle, with applicator of Frankie Avalons Zero Pain Original Formula Roll-on Maximum Strength Pain Reliever, labeled by Pure Source Inc.. The product's dosage form is and is administered via form.

Is NDC 65121-496 included in the NDC Directory?

No, Frankie Avalons Zero Pain Original Formula Roll-on Maximum Strength Pain Reliever with product code 65121-496 is excluded from the NDC Directory because it was discontinued by the manufacturer. The product was first marketed by Pure Source Inc. on July 10, 2013 and its listing in the NDC Directory is set to expire on October 14, 2014 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 65121-496-04?

The 11-digit format is 65121049604. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
5-3-265121-496-045-4-265121-0496-04