Protetor Solar Grip Action Fps 40
NDC Package 72872-137-17

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.

Protetor Solar Grip Action Fps 40 is a . Marketed by Alfa Distribution And Imports, this product is identified by NDC 72872-137 and is authorized under FDA application M020.

Identification & Billing

NDC Package Code
72872-137-17
Package Description
170 mL in 1 TUBE
Product Code
72872-137
11-Digit Billing Format
72872013717

Clinical Specifications

Proprietary Name
Protetor Solar Grip Action Fps 40
Dosage Form
-

Regulatory & Marketing

Labeler Name
Alfa Distribution And Imports
FDA Application #
M020
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-10-2019
End Marketing Date
09-28-2023
Listing Expiration
09-28-2023
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 72872-137-17 identifies a specific commercial package of 170 ml in 1 tube of Protetor Solar Grip Action Fps 40, labeled by Alfa Distribution And Imports. 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 Alfa Distribution And Imports on May 10, 2019. The current certification is valid through September 28, 2023.

How is this Alfa Distribution And Imports product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72872013717. 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)
72872-137-17
11-Digit CMS (5-4-2)
72872-0137-17

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