Patchology Breakout Box 3-in-1 Acne Treatment
NDC Package 72204-002-01

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.

Patchology Breakout Box 3-in-1 Acne Treatment is cleanse thoroughly before applying medication.Apply the sticker on the affected areas. Marketed by Iontera, Inc, this product is identified by NDC 72204-002 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
72204-002-01
Package Description
1 KIT in 1 BOX * 3 STRIP in 1 PACKET * 24 PATCH in 1 PACKET * 24 PATCH in 1 PACKET / .5 g in 1 PATCH
Product Code
72204-002
11-Digit Billing Format
72204000201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Patchology Breakout Box 3-in-1 Acne Treatment
Dosage Form
-
Usage Information
Cleanse thoroughly before applying medication.Apply the sticker on the affected areas. Because excessive drying of the skin may occur, start with one application daily, then gradually increase to 2 or 3 times daily if needed or as directed by a doctor. If bothersome dyrness or peeling occurs, reduce application to once a day or even every other day.Sensitivity test for a new user: Apply product to one or two small affected areas during the first 3 days. If no discomfort occurs, follow the directions stated above.

Regulatory & Marketing

Labeler Name
Iontera, Inc
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-03-2019
Listing Expiration
12-31-2025
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 72204-002-01 identifies a specific commercial package of 1 kit in 1 box * 3 strip in 1 packet * 24 patch in 1 packet * 24 patch in 1 packet / .5 g in 1 patch of Patchology Breakout Box 3-in-1 Acne Treatment, labeled by Iontera, Inc. 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 Iontera, Inc on June 03, 2019. The current certification is valid through December 31, 2025.

How is this Iontera, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72204000201. 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)
72204-002-01
11-Digit CMS (5-4-2)
72204-0002-01

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