Prevasil Ultra Care Lip Balm
NDC Package 72456-002-01

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.

Prevasil Ultra Care Lip Balm is • for cracking or dryness, continue to cover lips until absorbed• use daily on the lips as needed during periods of high stress, sickness or fatigue, or apply liberally to the affected area within the first hour of an emerging cold sore• rub in gently but completely• for cold sores/fever blisters, reapply liberally as the cooling effect wears off and continue reapplying throughout the following 8 hours, or until symptoms subside. Marketed by Bolm, Inc., this product is identified by NDC 72456-002 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
72456-002-01
Package Description
4.25 g in 1 TUBE
Product Code
72456-002
11-Digit Billing Format
72456000201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Prevasil Ultra Care Lip Balm
Dosage Form
-
Usage Information
• for cracking or dryness, continue to cover lips until absorbed• use daily on the lips as needed during periods of high stress, sickness or fatigue, or apply liberally to the affected area within the first hour of an emerging cold sore• rub in gently but completely• for cold sores/fever blisters, reapply liberally as the cooling effect wears off and continue reapplying throughout the following 8 hours, or until symptoms subside

Regulatory & Marketing

Labeler Name
Bolm, Inc.
FDA Application #
part348
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
05-01-2019
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 72456-002-01 identifies a specific commercial package of 4.25 g in 1 tube of Prevasil Ultra Care Lip Balm, labeled by Bolm, 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 Bolm, Inc. on May 01, 2019. The current certification is valid through December 31, 2020.

How is this Bolm, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72456000201. 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)
72456-002-01
11-Digit CMS (5-4-2)
72456-0002-01

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