Clotrimazole 1% Topical Antifungal Cream
NDC Package 73715-004-01

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.

Clotrimazole 1% Topical Antifungal Cream is wash affected area and dry thoroughlyapply a thin layer over affected area twice daily (morning and night)supervise children in the use of this productfor athlete's foot, pay special attention to the spaces between the toes, wear well fitting, ventilated shoes and change socks at least once dailyfor athlete's foot and ringworm, use daily for 4 weeks; for jock itch, use daily for 2 weeksif condition persists longer, ask a doctorthis product is not effective on the scalp or nails. Marketed by Mohnark Pharmaceuticals Inc., this product is identified by NDC 73715-004 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
73715-004-01
Package Description
28 g in 1 TUBE
Product Code
73715-004
11-Digit Billing Format
73715000401
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
28 GM
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Clotrimazole 1% Topical Antifungal Cream
Dosage Form
-
Usage Information
Wash affected area and dry thoroughlyapply a thin layer over affected area twice daily (morning and night)supervise children in the use of this productfor athlete's foot, pay special attention to the spaces between the toes, wear well fitting, ventilated shoes and change socks at least once dailyfor athlete's foot and ringworm, use daily for 4 weeks; for jock itch, use daily for 2 weeksif condition persists longer, ask a doctorthis product is not effective on the scalp or nails

Regulatory & Marketing

Labeler Name
Mohnark Pharmaceuticals Inc.
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-21-2020
Listing Expiration
12-31-2026
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 73715-004-01 identifies a specific commercial package of 28 g in 1 tube of Clotrimazole 1% Topical Antifungal Cream, labeled by Mohnark Pharmaceuticals Inc.. This product is billed per "GM" gram and contains an estimated amount of 28 billable units per package. 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 Mohnark Pharmaceuticals Inc. on December 21, 2020. The current certification is valid through December 31, 2026.

How is this Mohnark Pharmaceuticals Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 73715000401. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 28 total billable units per package. 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)
73715-004-01
11-Digit CMS (5-4-2)
73715-0004-01

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