Blue Green Gold Gagle
NDC Package 72139-0001-1

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.

Blue Green Gold Gagle is spit it out for about 30 seconds after putting the proper amount in your mouth. Marketed by Sandulbada Life Pharm, this product is identified by NDC 72139-0001.

Identification & Billing

NDC Package Code
72139-0001-1
Package Description
350 mL in 1 BOTTLE
Product Code
72139-0001
11-Digit Billing Format
72139000101

Clinical Specifications

Proprietary Name
Blue Green Gold Gagle
Dosage Form
-
Usage Information
Spit it out for about 30 seconds after putting the proper amount in your mouth.

Regulatory & Marketing

Labeler Name
Sandulbada Life Pharm
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
02-25-2018
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 72139-0001-1 identifies a specific commercial package of 350 ml in 1 bottle of Blue Green Gold Gagle, labeled by Sandulbada Life Pharm. 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 Sandulbada Life Pharm on February 25, 2018. The current certification is valid through December 31, 2020.

How is this Sandulbada Life Pharm product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72139000101. 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)
72139-0001-1
11-Digit CMS (5-4-2)
72139-0001-01

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