Topical Anesthetic
NDC Package 67239-0205-1

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.

Topical Anesthetic is a . Marketed by Safco Dental Supply Co., this product is identified by NDC 67239-0205 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
67239-0205-1
Package Description
34 g in 1 JAR
Product Code
67239-0205
11-Digit Billing Format
67239020501

Clinical Specifications

Proprietary Name
Topical Anesthetic Pina Colada
Dosage Form
-

Regulatory & Marketing

Labeler Name
Safco Dental Supply Co.
FDA Application #
part356
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
08-06-2012
End Marketing Date
10-15-2018
Listing Expiration
10-15-2018
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 67239-0205-1 identifies a specific commercial package of 34 g in 1 jar of Topical Anesthetic Pina Colada, labeled by Safco Dental Supply Co.. 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 Safco Dental Supply Co. on August 06, 2012. The current certification is valid through October 15, 2018.

How is this Safco Dental Supply Co. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67239020501. 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)
67239-0205-1
11-Digit CMS (5-4-2)
67239-0205-01

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