Alivio Medicated Pain
NDC Package 69512-001-01

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.

Alivio Medicated Pain is clean and dry affected area.Remove patch from backing and apply to affected area. Marketed by Alivio Medical Products, Llc, this product is identified by NDC 69512-001 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
69512-001-01
Package Description
15 PATCH in 1 BOX / 8.5 g in 1 PATCH
Product Code
69512-001
11-Digit Billing Format
69512000101
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Alivio Medicated Pain
Dosage Form
-
Usage Information
Clean and dry affected area.Remove patch from backing and apply to affected area.  Apply directly to effected area.Use only on patch at a time, and a maximum of four patches per day.Leave patch on affected area for up eight hours.Do not use patches for more than five consecutive days.Children under 12 should consult a physician prior to use.

Regulatory & Marketing

Labeler Name
Alivio Medical Products, 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
01-21-2015
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 69512-001-01 identifies a specific commercial package of 15 patch in 1 box / 8.5 g in 1 patch of Alivio Medicated Pain, labeled by Alivio Medical Products, Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 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 Alivio Medical Products, Llc on January 21, 2015. The current certification is valid through December 31, 2017.

How is this Alivio Medical Products, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69512000101. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
69512-001-01
11-Digit CMS (5-4-2)
69512-0001-01

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