Tag Away Liquid
NDC Package 65121-711-15

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

Package Information

Tag Away (thuja occidentalis leafy twig) liquids is use brush to apply 3 times daily to affected areaskin tags will dry and flake away over 3-8 weeksskin test for tolerabilityif irritation occurs, discontinue use. This formulation utilizes a liquid delivery system. Marketed by Pure Source, Llc, this product is identified by NDC 65121-711.

Identification & Billing

NDC Package Code
65121-711-15
Package Description
15 mL in 1 BOTTLE, GLASS
Product Code
65121-711
11-Digit Billing Format
65121071115

Clinical Specifications

Proprietary Name
Tag Away
Non-Proprietary Name
Thuja Occidentalis Leafy Twig
Substance Name
Thuja Occidentalis Leafy Twig
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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)
THUJA OCCIDENTALIS LEAFY TWIG 6 [hp_X]/mL
Usage Information
Use brush to apply 3 times daily to affected areaskin tags will dry and flake away over 3-8 weeksskin test for tolerabilityif irritation occurs, discontinue use

Regulatory & Marketing

Labeler Name
Pure Source, Llc
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
05-22-2013
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 65121-711-15 identifies a specific commercial package of 15 ml in 1 bottle, glass of Tag Away, a human over the counter drug labeled by Pure Source, Llc. This liquid is formulated for topical use and contains thuja occidentalis leafy twig 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 Pure Source, Llc on May 22, 2013. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65121071115. 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)
65121-711-15
11-Digit CMS (5-4-2)
65121-0711-15

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