Midway Select Topical Anesthetic
NDC Package 72304-005-30

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.

Midway Select Topical Anesthetic is a . Marketed by Midway Dental Supply, Llc, this product is identified by NDC 72304-005 and is authorized under FDA application part356.

Identification & Billing

NDC Package Code
72304-005-30
Package Description
30 g in 1 JAR
Product Code
72304-005
11-Digit Billing Format
72304000530

Clinical Specifications

Proprietary Name
Midway Select Topical Anesthetic
Dosage Form
-

Regulatory & Marketing

Labeler Name
Midway Dental Supply, Llc
FDA Application #
part356
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
06-01-2018
End Marketing Date
01-18-2025
Listing Expiration
01-18-2025
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 72304-005-30 identifies a specific commercial package of 30 g in 1 jar of Midway Select Topical Anesthetic, labeled by Midway Dental Supply, 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 Midway Dental Supply, Llc on June 01, 2018. The current certification is valid through January 18, 2025.

How is this Midway Dental Supply, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72304000530. 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)
72304-005-30
11-Digit CMS (5-4-2)
72304-0005-30

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