Clarifying Detox Mask With Green Tea Plus Sulfur
NDC Package 72704-105-01

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.

Clarifying Detox Mask With Green Tea Plus Sulfur is clean the skin thoroughly before applying this productCover the entire affected area with a thin layerLeave on for 10-15 minutes, rinse thoroughly, and pat dryBecause excessive drying of the skin may occur, start with one application weekly then gradually increase to two or three times weekly if needed or as directed by a doctorIf bothersome dryness or peeling occurs, reduce application to once a week or every other week. Marketed by Lancer Skincare Llc., this product is identified by NDC 72704-105 and is authorized under FDA application part333D.

Identification & Billing

NDC Package Code
72704-105-01
Package Description
1 TUBE in 1 CARTON / 50 mL in 1 TUBE
Product Code
72704-105
11-Digit Billing Format
72704010501
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Clarifying Detox Mask With Green Tea Plus Sulfur Acne Treatment Mask
Dosage Form
-
Usage Information
Clean the skin thoroughly before applying this productCover the entire affected area with a thin layerLeave on for 10-15 minutes, rinse thoroughly, and pat dryBecause excessive drying of the skin may occur, start with one application weekly then gradually increase to two or three times weekly if needed or as directed by a doctorIf bothersome dryness or peeling occurs, reduce application to once a week or every other week

Regulatory & Marketing

Labeler Name
Lancer Skincare Llc.
FDA Application #
part333D
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
06-01-2019
Listing Expiration
12-31-2024
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 72704-105-01 identifies a specific commercial package of 1 tube in 1 carton / 50 ml in 1 tube of Clarifying Detox Mask With Green Tea Plus Sulfur Acne Treatment Mask, labeled by Lancer Skincare 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 Lancer Skincare Llc. on June 01, 2019. The current certification is valid through December 31, 2024.

How is this Lancer Skincare Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72704010501. 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)
72704-105-01
11-Digit CMS (5-4-2)
72704-0105-01

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