Fidelis Topical Anesthetic
NDC Package 69962-024-30

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.

Fidelis Topical Anesthetic is a . Marketed by Webco Dental & Medical Supplies, Inc., this product is identified by NDC 69962-024 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
69962-024-30
Package Description
30 g in 1 JAR
Product Code
69962-024
11-Digit Billing Format
69962002430

Clinical Specifications

Proprietary Name
Fidelis Topical Anesthetic
Dosage Form
-

Regulatory & Marketing

Labeler Name
Webco Dental & Medical Supplies, Inc.
FDA Application #
part356
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
01-01-2014
End Marketing Date
08-17-2018
Listing Expiration
08-17-2018
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 69962-024-30 identifies a specific commercial package of 30 g in 1 jar of Fidelis Topical Anesthetic, labeled by Webco Dental & Medical Supplies, 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 Webco Dental & Medical Supplies, Inc. on January 01, 2014. The current certification is valid through August 17, 2018.

How is this Webco Dental & Medical Supplies, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69962002430. 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)
69962-024-30
11-Digit CMS (5-4-2)
69962-0024-30

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