Psp Witch Hazel 85
NDC Package 69612-021-01

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 discontinued by the firm.

Psp Witch Hazel 85 is a . Marketed by Rw Consumer Products Ltd, this product is identified by NDC 69612-021 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
69612-021-01
Package Description
1 BOTTLE, PLASTIC in 1 BOX / 500 mL in 1 BOTTLE, PLASTIC
Product Code
69612-021
11-Digit Billing Format
69612002101

Clinical Specifications

Proprietary Name
Psp Witch Hazel 85
Dosage Form
-

Regulatory & Marketing

Labeler Name
Rw Consumer Products Ltd
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
10-01-2021
End Marketing Date
06-07-2022
Listing Expiration
06-07-2022
Exclude Flag
D
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 69612-021-01 identifies a specific commercial package of 1 bottle, plastic in 1 box / 500 ml in 1 bottle, plastic of Psp Witch Hazel 85, labeled by Rw Consumer Products Ltd. 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 Rw Consumer Products Ltd on October 01, 2021. The current certification is valid through June 07, 2022.

How is this Rw Consumer Products Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69612002101. 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)
69612-021-01
11-Digit CMS (5-4-2)
69612-0021-01

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