Simplicity Desensitizing
NDC Package 69109-004-30

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 inactivated by the FDA.

Simplicity Desensitizing is adults and children 2 years and older: Apply externally to the affected area up to 3-4 times daily.Children under 2 years of age: Consult a doctor. Marketed by Simplicity Laser, Llc, this product is identified by NDC 69109-004 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
69109-004-30
Package Description
30 mL in 1 BOTTLE
Product Code
69109-004
11-Digit Billing Format
69109000430
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Simplicity Desensitizing
Dosage Form
-
Usage Information
Adults and children 2 years and older: Apply externally to the affected area up to 3-4 times daily.Children under 2 years of age: Consult a doctor.

Regulatory & Marketing

Labeler Name
Simplicity Laser, Llc
FDA Application #
part348
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
07-15-2014
Listing Expiration
12-31-2017
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 69109-004-30 identifies a specific commercial package of 30 ml in 1 bottle of Simplicity Desensitizing, labeled by Simplicity Laser, Llc. 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 Simplicity Laser, Llc on July 15, 2014. The current certification is valid through December 31, 2017.

How is this Simplicity Laser, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69109000430. 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)
69109-004-30
11-Digit CMS (5-4-2)
69109-0004-30

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