Pharmacys Prescription Hydrogen Peroxide
NDC Package 72197-008-16

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.

Pharmacys Prescription Hydrogen Peroxide is directionsFirst aid antiseptic:Clean affected area; apply small amount of product on affected area 1-3 times a day; may be covered with a sterile bandage; if bandage, let dry first.Oral debriding agent (oral rinse):Adults and children 2 years of age and over:Mix with an equal amount of water; swish around in the mouth over affected area for at least 1 minute and then spit out; use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor. Marketed by American Consumer Products Corp, this product is identified by NDC 72197-008 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
72197-008-16
Package Description
473 mL in 1 BOTTLE, PLASTIC
Product Code
72197-008
11-Digit Billing Format
72197000816
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pharmacys Prescription Hydrogen Peroxide
Dosage Form
-
Usage Information
DirectionsFirst aid antiseptic:Clean affected area; apply small amount of product on affected area 1-3 times a day; may be covered with a sterile bandage; if bandage, let dry first.Oral debriding agent (oral rinse):Adults and children 2 years of age and over:Mix with an equal amount of water; swish around in the mouth over affected area for at least 1 minute and then spit out; use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor.

Regulatory & Marketing

Labeler Name
American Consumer Products Corp
FDA Application #
part333A
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
08-31-2018
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 72197-008-16 identifies a specific commercial package of 473 ml in 1 bottle, plastic of Pharmacys Prescription Hydrogen Peroxide, labeled by American Consumer Products Corp. 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 American Consumer Products Corp on August 31, 2018. The current certification is valid through December 31, 2019.

How is this American Consumer Products Corp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72197000816. 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)
72197-008-16
11-Digit CMS (5-4-2)
72197-0008-16

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