Coldsore Bomb
NDC Package 72883-019-01

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 discontinued by the firm.

Coldsore Bomb is a . Marketed by Envisionate Psj Llc, this product is identified by NDC 72883-019 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
72883-019-01
Package Description
1 TUBE in 1 BOX / 3.5 g in 1 TUBE
Product Code
72883-019
11-Digit Billing Format
72883001901

Clinical Specifications

Proprietary Name
Coldsore Bomb
Dosage Form
-

Regulatory & Marketing

Labeler Name
Envisionate Psj Llc
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
03-25-2019
End Marketing Date
05-01-2019
Listing Expiration
05-01-2019
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 72883-019-01 identifies a specific commercial package of 1 tube in 1 box / 3.5 g in 1 tube of Coldsore Bomb, labeled by Envisionate Psj 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 Envisionate Psj Llc on March 25, 2019. The current certification is valid through May 01, 2019.

How is this Envisionate Psj Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72883001901. 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)
72883-019-01
11-Digit CMS (5-4-2)
72883-0019-01

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