Baramo For O Ily Scalp
NDC Package 69961-040-02

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.

Baramo For O Ily Scalp is a medication used as Purpose: purifies & nourishes hair and scalp. Marketed by Mentor Lab, this product is identified by NDC 69961-040.

Identification & Billing

NDC Package Code
69961-040-02
Package Description
1 BOTTLE, PUMP in 1 CARTON / 300 mL in 1 BOTTLE, PUMP (69961-040-01)
Product Code
69961-040
11-Digit Billing Format
69961004002

Clinical Specifications

Proprietary Name
Baramo For O Ily Scalp
Dosage Form
-
Usage Information
This product is used as Purpose: purifies & nourishes hair and scalp

Regulatory & Marketing

Labeler Name
Mentor Lab
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
10-01-2016
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 69961-040-02 identifies a specific commercial package of 1 bottle, pump in 1 carton / 300 ml in 1 bottle, pump (69961-040-01) of Baramo For O Ily Scalp, labeled by Mentor Lab. 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 Mentor Lab on October 01, 2016. The current certification is valid through December 31, 2018.

How is this Mentor Lab product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69961004002. 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)
69961-040-02
11-Digit CMS (5-4-2)
69961-0040-02

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