Brazilian Menthol Pain Relieving
NDC Package 71977-126-04

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.

Brazilian Menthol Pain Relieving is a . Marketed by Ddr Product, Llc, this product is identified by NDC 71977-126 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
71977-126-04
Package Description
1 JAR in 1 BOX / 118.294 mL in 1 JAR
Product Code
71977-126
11-Digit Billing Format
71977012604

Clinical Specifications

Proprietary Name
Brazilian Menthol Pain Relieving
Dosage Form
-

Regulatory & Marketing

Labeler Name
Ddr Product, Llc
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-27-2017
End Marketing Date
02-01-2024
Listing Expiration
02-01-2024
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 71977-126-04 identifies a specific commercial package of 1 jar in 1 box / 118.294 ml in 1 jar of Brazilian Menthol Pain Relieving, labeled by Ddr Product, Llc. 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 Ddr Product, Llc on December 27, 2017. The current certification is valid through February 01, 2024.

How is this Ddr Product, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71977012604. 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)
71977-126-04
11-Digit CMS (5-4-2)
71977-0126-04

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