Hydra Rose Mask
NDC Package 71694-0004-2

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.

Hydra Rose Mask is 1. Marketed by Feelxo, this product is identified by NDC 71694-0004 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
71694-0004-2
Package Description
27 mL in 1 POUCH
Product Code
71694-0004
11-Digit Billing Format
71694000402

Clinical Specifications

Proprietary Name
Hydra Rose Mask
Dosage Form
-
Usage Information
1. Cleanse and tone the skin.Unfold the mask and carefully adjust it onto your face.Leave the mask on your face for 15~20 minutes for best outcome.Remove the mask and gently massage excess serum for better absorption.

Regulatory & Marketing

Labeler Name
Feelxo
FDA Application #
part347
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
08-01-2017
Listing Expiration
12-31-2019
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 71694-0004-2 identifies a specific commercial package of 27 ml in 1 pouch of Hydra Rose Mask, labeled by Feelxo. 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 Feelxo on August 01, 2017. The current certification is valid through December 31, 2019.

How is this Feelxo product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71694000402. 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)
71694-0004-2
11-Digit CMS (5-4-2)
71694-0004-02

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