Roman Broad Spectrum Spf 28
NDC Package 72484-201-03

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.

Roman Broad Spectrum Spf 28 is use Helps prevent sunburn. Marketed by Roman Health Ventures Inc., this product is identified by NDC 72484-201 and is authorized under FDA application part352.

Identification & Billing

NDC Package Code
72484-201-03
Package Description
1 BOTTLE, PLASTIC in 1 CARTON / 60 mL in 1 BOTTLE, PLASTIC
Product Code
72484-201
11-Digit Billing Format
72484020103

Clinical Specifications

Proprietary Name
Roman Broad Spectrum Spf 28 Sunscreen Face Moisturizer
Dosage Form
-
Usage Information
Use Helps prevent sunburn.

Regulatory & Marketing

Labeler Name
Roman Health Ventures Inc.
FDA Application #
part352
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-28-2020
Listing Expiration
12-31-2022
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 72484-201-03 identifies a specific commercial package of 1 bottle, plastic in 1 carton / 60 ml in 1 bottle, plastic of Roman Broad Spectrum Spf 28 Sunscreen Face Moisturizer, labeled by Roman Health Ventures 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 Roman Health Ventures Inc. on July 28, 2020. The current certification is valid through December 31, 2022.

How is this Roman Health Ventures Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72484020103. 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)
72484-201-03
11-Digit CMS (5-4-2)
72484-0201-03

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