Treeactiv Cystic Acne Spot Treatment Paste
NDC Package 72841-201-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Treeactiv Cystic Acne Spot Treatment (sulfur) pastes is clean the skin thoroughly before applying this productcover the entire affected area with a thin layer one to three times dailybecause excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctorif bothersome dryness or peeling occurs, reduce application to once a day or every other day. This formulation utilizes a paste delivery system. Marketed by Leiluna Llc, this product is identified by NDC 72841-201 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
72841-201-01
Package Description
1 JAR in 1 BOX / 15 mL in 1 JAR
Product Code
72841-201
11-Digit Billing Format
72841020101
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Treeactiv Cystic Acne Spot Treatment
Non-Proprietary Name
Sulfur
Substance Name
Sulfur
Dosage Form
Paste - A semisolid3 dosage form, containing a large proportion (20 – 50%) of solids finely dispersed in a fatty vehicle. This dosage form is generally for external application to the skin or mucous membranes.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
SULFUR 30 mg/mL
Usage Information
Clean the skin thoroughly before applying this productcover the entire affected area with a thin layer one to three times dailybecause excessive drying of the skin may occur, start with one application daily, then gradually increase to two or three times daily if needed or as directed by a doctorif bothersome dryness or peeling occurs, reduce application to once a day or every other day.

Regulatory & Marketing

Labeler Name
Leiluna Llc
Product Type
Human Otc Drug
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-07-2020
Listing Expiration
12-31-2026
Exclude Flag
N
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (72841-201). Click a package code to view its specific billing and regulatory data.

72841-201-02
2 BOX in 1 PACKAGE, COMBINATION / 1 JAR in 1 BOX / 15 mL in 1 JAR

* 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 72841-201-01 identifies a specific commercial package of 1 jar in 1 box / 15 ml in 1 jar of Treeactiv Cystic Acne Spot Treatment, a human over the counter drug labeled by Leiluna Llc. This paste is formulated for topical use and contains sulfur as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Leiluna Llc on May 07, 2020. The current certification is valid through December 31, 2026.

How is this Leiluna Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72841020101. 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)
72841-201-01
11-Digit CMS (5-4-2)
72841-0201-01

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