Premier Value Instant Antiseptic Pain Relief Liquid
NDC Package 68016-821-45

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

Package Information

Premier Value Instant Antiseptic Pain Relief (camphor 10.8% and phenol 4.7%) liquids is adult and children 2 yrs and older: apply to affected area 1 to 3 times daily.Children under 2 yrs of age: Consult a doctor before use. This formulation utilizes a liquid delivery system. Marketed by Pharmacy Value Alliance Llc, this product is identified by NDC 68016-821 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
68016-821-45
Package Description
45 mL in 1 BOTTLE, GLASS
Product Code
68016-821
11-Digit Billing Format
68016082145
RxNorm Crosswalk
  • RxCUI: 308940 - camphor 10.8 % / phenol 4.7 % Topical Solution
  • RxCUI: 308940 - camphor 108 MG/ML / phenol 47 MG/ML Topical Solution

Clinical Specifications

Proprietary Name
Premier Value Instant Antiseptic Pain Relief
Non-Proprietary Name
Camphor 10.8% And Phenol 4.7%
Substance Name
Camphor (natural); Phenol
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Usage Information
Adult and children 2 yrs and older: apply to affected area 1 to 3 times daily.Children under 2 yrs of age: Consult a doctor before use.

Regulatory & Marketing

Labeler Name
Pharmacy Value Alliance Llc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-30-2020
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 68016-821-45 identifies a specific commercial package of 45 ml in 1 bottle, glass of Premier Value Instant Antiseptic Pain Relief, a human over the counter drug labeled by Pharmacy Value Alliance Llc. This liquid is formulated for topical use and contains camphor (natural); phenol 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 Pharmacy Value Alliance Llc on January 30, 2020. The current certification is valid through December 31, 2026.

How is this Pharmacy Value Alliance Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68016082145. 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)
68016-821-45
11-Digit CMS (5-4-2)
68016-0821-45

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