Dynarex Antifungal Powder
NDC Package 67777-316-02

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing certification is expired.

Dynarex Antifungal Powder is sprinkle onto the affected area twice daily. Marketed by Dynarex Corporation, this product is identified by NDC 67777-316 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
67777-316-02
Package Description
24 BOTTLE, PLASTIC in 1 CASE / 85 g in 1 BOTTLE, PLASTIC (67777-316-01)
Product Code
11-Digit Billing Format
67777031602
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
85 GM
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dynarex Antifungal Powder
Dosage Form
-
Usage Information
Sprinkle onto the affected area twice daily. It can be safely applied to broken skin and may also be sprinkled onto clothes and footwear, which come into contact with the infected area.

Regulatory & Marketing

Labeler Name
Dynarex Corporation
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-19-2016
Listing Expiration
12-31-2026
Exclude Flag
E
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 67777-316-02 identifies a specific commercial package of 24 bottle, plastic in 1 case / 85 g in 1 bottle, plastic (67777-316-01) of Dynarex Antifungal Powder, labeled by Dynarex Corporation. This product is billed per "GM" gram and contains an estimated amount of 85 billable units per package. 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 May 19, 2016. The current certification is valid through December 31, 2026.

How is this Dynarex Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67777031602. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 85 total billable units per package. 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)
67777-316-02
11-Digit CMS (5-4-2)
67777-0316-02

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