Dynarex Green
NDC Package 67777-307-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Dynarex Green is cleaning and antiseptic cleansing of skin. Marketed by Dynarex Corporation, this product is identified by NDC 67777-307 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
67777-307-01
Package Description
473 mL in 1 BOTTLE
Product Code
67777-307
11-Digit Billing Format
67777030701
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dynarex Green
Dosage Form
-
Usage Information
Cleaning and antiseptic cleansing of skin.

Regulatory & Marketing

Labeler Name
Dynarex Corporation
FDA Application #
part333A
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
01-28-2014
Listing Expiration
12-31-2018
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (67777-307). Click a package code to view its specific billing and regulatory data.

67777-307-02
3785 mL in 1 BOTTLE

* 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 67777-307-01 identifies a specific commercial package of 473 ml in 1 bottle of Dynarex Green, labeled by Dynarex Corporation. 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 Dynarex Corporation on January 28, 2014. The current certification is valid through December 31, 2018.

How is this Dynarex Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67777030701. 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)
67777-307-01
11-Digit CMS (5-4-2)
67777-0307-01

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