Welly Bravery Balm
NDC Package 72663-561-12

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.

Welly Bravery Balm is a . Marketed by Welly Health Pbc, this product is identified by NDC 72663-561 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
72663-561-12
Package Description
12 POUCH in 1 BOX / .5 g in 1 POUCH (72663-561-34)
Product Code
72663-561
11-Digit Billing Format
72663056112

Clinical Specifications

Proprietary Name
Welly Bravery Balm
Dosage Form
-

Regulatory & Marketing

Labeler Name
Welly Health Pbc
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-06-2019
End Marketing Date
12-31-2023
Listing Expiration
12-31-2023
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 72663-561-12 identifies a specific commercial package of 12 pouch in 1 box / .5 g in 1 pouch (72663-561-34) of Welly Bravery Balm, labeled by Welly Health Pbc. 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 Welly Health Pbc on September 06, 2019. The current certification is valid through December 31, 2023.

How is this Welly Health Pbc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72663056112. 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)
72663-561-12
11-Digit CMS (5-4-2)
72663-0561-12

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