Ultra-care Alcohol Prep Pad
NDC Package 72217-001-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Ultra-care Alcohol Prep Pad is wipe injection site vigorously. Marketed by Arise Medical Llc, this product is identified by NDC 72217-001 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
72217-001-01
Package Description
100 PACKET in 1 BOX / 70 mL in 1 PACKET
Product Code
72217-001
11-Digit Billing Format
72217000101
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Ultra-care Alcohol Prep Pad
Dosage Form
-
Usage Information
Wipe injection site vigorously

Regulatory & Marketing

Labeler Name
Arise Medical Llc
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
06-11-2018
Listing Expiration
12-31-2021
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (72217-001). Click a package code to view its specific billing and regulatory data.

72217-001-02
200 PACKET in 1 BOX / 70 mL in 1 PACKET

* 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 72217-001-01 identifies a specific commercial package of 100 packet in 1 box / 70 ml in 1 packet of Ultra-care Alcohol Prep Pad, labeled by Arise Medical Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. 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 Arise Medical Llc on June 11, 2018. The current certification is valid through December 31, 2021.

How is this Arise Medical Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72217000101. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. 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)
72217-001-01
11-Digit CMS (5-4-2)
72217-0001-01

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