Id Clarifying Body
NDC Package 69774-554-05

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.

Id Clarifying Body is purpose Acne Treatment Uses• Treats acne • Clears acne blemishes • Helps prevent development of new acne blemishes. Marketed by Skin Sciences Laboratory Inc., this product is identified by NDC 69774-554 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
69774-554-05
Package Description
135 g in 1 BOX
Product Code
69774-554
11-Digit Billing Format
69774055405
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Id Clarifying Body
Dosage Form
-
Usage Information
Purpose Acne Treatment Uses• Treats acne • Clears acne blemishes • Helps prevent development of new acne blemishes

Regulatory & Marketing

Labeler Name
Skin Sciences Laboratory Inc.
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
04-15-2017
Listing Expiration
12-31-2018
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 69774-554-05 identifies a specific commercial package of 135 g in 1 box of Id Clarifying Body, labeled by Skin Sciences Laboratory Inc.. 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 Skin Sciences Laboratory Inc. on April 15, 2017. The current certification is valid through December 31, 2018.

How is this Skin Sciences Laboratory Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69774055405. 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)
69774-554-05
11-Digit CMS (5-4-2)
69774-0554-05

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