Jack Black Performance Remedy Dragon Ice
NDC Package 66738-101-11

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 inactivated by the FDA.

Jack Black Performance Remedy Dragon Ice is fOR THE TEMPORARY RELIEF OF MINOR ACHES AND PAINS OF MUSCLES AND JOINTS ASSOCIATED WITH STRAINS, BRUISES, SPRAINS, SIMPLE BACKACHE, AND ARTHRITIS. Marketed by Jack Black Llc, this product is identified by NDC 66738-101 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
66738-101-11
Package Description
113 g in 1 TUBE
Product Code
66738-101
11-Digit Billing Format
66738010111
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Jack Black Performance Remedy Dragon Ice
Dosage Form
-
Usage Information
FOR THE TEMPORARY RELIEF OF MINOR ACHES AND PAINS OF MUSCLES AND JOINTS ASSOCIATED WITH STRAINS, BRUISES, SPRAINS, SIMPLE BACKACHE, AND ARTHRITIS.

Regulatory & Marketing

Labeler Name
Jack Black Llc
FDA Application #
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
07-13-2019
Listing Expiration
12-31-2024
Exclude Flag
I
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 66738-101-11 identifies a specific commercial package of 113 g in 1 tube of Jack Black Performance Remedy Dragon Ice, labeled by Jack Black 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 Jack Black Llc on July 13, 2019. The current certification is valid through December 31, 2024.

How is this Jack Black Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66738010111. 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)
66738-101-11
11-Digit CMS (5-4-2)
66738-0101-11

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