Activ O2 Acne Treatment Cleansing Bar
NDC Package 71577-111-12

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.

Activ O2 Acne Treatment Cleansing Bar is uSE ONE TO THREE TIMES DAILY• wet your face or affected body parts with luke warm water, lather soap in hands. Marketed by Activ Ozone (pty) Ltd, this product is identified by NDC 71577-111 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
71577-111-12
Package Description
125 g in 1 CARTON
Product Code
71577-111
11-Digit Billing Format
71577011112
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Activ O2 Acne Treatment Cleansing Bar
Dosage Form
-
Usage Information
USE ONE TO THREE TIMES DAILY• wet your face or affected body parts with luke warm water, lather soap in hands. Massage lather onto skin with a gentle, circular motion for 20 to 30 seconds. Rinse thoroughly and gently pat dry. Follow with ACTIV O2 Acne Treatment Lotion or Cream. • avoid contact with eyes, lips and mouth

Regulatory & Marketing

Labeler Name
Activ Ozone (pty) Ltd
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
09-28-2017
Listing Expiration
12-31-2020
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 71577-111-12 identifies a specific commercial package of 125 g in 1 carton of Activ O2 Acne Treatment Cleansing Bar, labeled by Activ Ozone (pty) Ltd. 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 Activ Ozone (pty) Ltd on September 28, 2017. The current certification is valid through December 31, 2020.

How is this Activ Ozone (pty) Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71577011112. 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)
71577-111-12
11-Digit CMS (5-4-2)
71577-0111-12

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