Acne Treatment System Kit
NDC Package 67226-3026-9

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

Package Information

Acne Treatment System (benzoyl peroxide, salicylic acid) kits is wash hands with a non-medicated soap (contains no Benzoyl Peroxide).Cleanse and dry face thoroughly 5 minutes before use.Using fingertips, apply evenly to affected areas.Use both morning and night or as directedby a physician.If dryness or peeling occurs, reduce application to once a day or every other day.Fair skinned individuals should begin with one application.For more severe cases, and/or if substantial improvement is not apparent within 3 to 4 weeks, consult a healthcare practitioner. This formulation utilizes a kit delivery system. Marketed by Vivier Pharma, Inc., this product is identified by NDC 67226-3026 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
67226-3026-9
Package Description
1 KIT in 1 KIT * 1 TUBE in 1 BOX (67226-2050-3) / 30 mL in 1 TUBE * 150 mL in 1 BOTTLE, PUMP (67226-1021-1)
Product Code
67226-3026
11-Digit Billing Format
67226302609
RxNorm Crosswalk
  • RxCUI: 106309 - benzoyl peroxide 5 % Topical Lotion
  • RxCUI: 106309 - benzoyl peroxide 50 MG/ML Topical Lotion
  • RxCUI: 1092658 - {1 (30 ML) (benzoyl peroxide 50 MG/ML Topical Lotion) / 1 (150 ML) (salicylic acid 20 MG/ML Medicated Liquid Soap) } Pack
  • RxCUI: 1092658 - benzoyl peroxide 5 % Topical Lotion (30 ML) / salicylic acid 2 % Medicated Liquid Soap (150 ML) Pack
  • RxCUI: 1092658 - {1 (150 ML salicylic acid 2 % Medicated Liquid Soap) / 1 (30 ML benzoyl peroxide 5 % Topical Lotion) } Pack

Clinical Specifications

Proprietary Name
Acne Treatment System
Non-Proprietary Name
Benzoyl Peroxide, Salicylic Acid
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Wash hands with a non-medicated soap (contains no Benzoyl Peroxide).Cleanse and dry face thoroughly 5 minutes before use.Using fingertips, apply evenly to affected areas.Use both morning and night or as directedby a physician.If dryness or peeling occurs, reduce application to once a day or every other day.Fair skinned individuals should begin with one application.For more severe cases, and/or if substantial improvement is not apparent within 3 to 4 weeks, consult a healthcare practitioner. Wet face using lukewarm water. Gently massage over the face using fingertips. Rinse completely. Use both morning and night or as directed by a physician. If dryness or peeling occurs, reduce application to once a day or every other day. Other InformationStore at room tempreture (15-30°C / 59-86°F).

Regulatory & Marketing

Labeler Name
Vivier Pharma, Inc.
Product Type
Human Otc Drug
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-11-2017
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 67226-3026-9 identifies a specific commercial package of 1 kit in 1 kit * 1 tube in 1 box (67226-2050-3) / 30 ml in 1 tube * 150 ml in 1 bottle, pump (67226-1021-1) of Acne Treatment System, a human over the counter drug labeled by Vivier Pharma, Inc.. This kit is formulated for use and contains 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 Vivier Pharma, Inc. on November 11, 2017. The current certification is valid through December 31, 2026.

How is this Vivier Pharma, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67226302609. 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 (5-4-1)
67226-3026-9
11-Digit CMS (5-4-2)
67226-3026-09

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