Revagain Hair And Scalp Revitalizing
NDC Package 69808-1001-1

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.

Revagain Hair And Scalp Revitalizing is wet hair thoroughly and apply shampoo.gently work lather into scalp and hair.rinse well and blot hair with towelfollow with REVAGAIN scalp tonic for optimal results. Marketed by Affinity Group L.l.c., this product is identified by NDC 69808-1001 and is authorized under FDA application part358H.

Identification & Billing

NDC Package Code
69808-1001-1
Package Description
240 mL in 1 BOTTLE
Product Code
69808-1001
11-Digit Billing Format
69808100101

Clinical Specifications

Proprietary Name
Revagain Hair And Scalp Revitalizing
Dosage Form
-
Usage Information
Wet hair thoroughly and apply shampoo.gently work lather into scalp and hair.rinse well and blot hair with towelfollow with REVAGAIN scalp tonic for optimal results

Regulatory & Marketing

Labeler Name
Affinity Group L.l.c.
FDA Application #
part358H
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-07-2015
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 69808-1001-1 identifies a specific commercial package of 240 ml in 1 bottle of Revagain Hair And Scalp Revitalizing, labeled by Affinity Group L.l.c.. 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 Affinity Group L.l.c. on May 07, 2015. The current certification is valid through December 31, 2017.

How is this Affinity Group L.l.c. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69808100101. 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 (5-4-1)
69808-1001-1
11-Digit CMS (5-4-2)
69808-1001-01

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