Pro-sys Liquid
NDC Package 70275-201-28

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Pro-sys (oral wound cleanser) liquids is • Adults and children 2 years of age or older: rinse half a capful (two teaspoons or 10 mL) around the mouth over the affected area for at least 1 minute, then spit out. This formulation utilizes a liquid delivery system. Marketed by Forward Science Technologies Llc, this product is identified by NDC 70275-201 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
70275-201-28
Package Description
3785 mL in 1 BOTTLE
Product Code
70275-201
11-Digit Billing Format
70275020128
RxNorm Crosswalk
  • RxCUI: 205336 - hydrogen peroxide 1.5 % Mucous Membrane Topical Solution
  • RxCUI: 205336 - hydrogen peroxide 15 MG/ML Mucous Membrane Topical Solution

Clinical Specifications

Proprietary Name
Pro-sys
Non-Proprietary Name
Oral Wound Cleanser
Substance Name
Hydrogen Peroxide
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Dental - Administration to a tooth or teeth.
Active Ingredient(s)
HYDROGEN PEROXIDE 15 mg/mL
Usage Information
• Adults and children 2 years of age or older: rinse half a capful (two teaspoons or 10 mL) around the mouth over the affected area for at least 1 minute, then spit out. • Use up to 4 times daily after meals and at bedtime or as directed by a dentist or physician. • Children under 12 years of age should be supervised in the use of the product. • Children under 2 years of age: Consult a dentist or physician. • Adults and children 2 years of age or older: rinse half a capful (two teaspoons or 10 mL) around the mouth over the affected area for at least 1 minute, then spit out. • Use up to 4 times daily after meals and at bedtime or as directed by a dentist or physician. • Children under 12 years of age should be supervised in the use of the product. • Children under 2 years of age: Consult a dentist or physician.

Regulatory & Marketing

Labeler Name
Forward Science Technologies Llc
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-16-2022
Listing Expiration
12-31-2027
Exclude Flag
N
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (70275-201). Click a package code to view its specific billing and regulatory data.

70275-201-16
473 mL in 1 BOTTLE

* 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 70275-201-28 identifies a specific commercial package of 3785 ml in 1 bottle of Pro-sys, a human over the counter drug labeled by Forward Science Technologies Llc. This liquid is formulated for dental use and contains hydrogen peroxide as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Forward Science Technologies Llc on May 16, 2022. The current certification is valid through December 31, 2027.

How is this Forward Science Technologies Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 70275020128. 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)
70275-201-28
11-Digit CMS (5-4-2)
70275-0201-28

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