State Line Distillery Hand Sanitizer
NDC Package 75218-000-01

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

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

State Line Distillery Hand Sanitizer is a . Marketed by State Line Distillery, Llc, this product is identified by NDC 75218-000 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
75218-000-01
Package Description
3785 mL in 1 BOTTLE, PLASTIC
Product Code
75218-000
11-Digit Billing Format
75218000001

Clinical Specifications

Proprietary Name
State Line Distillery Hand Sanitizer
Dosage Form
-

Regulatory & Marketing

Labeler Name
State Line Distillery, Llc
FDA Application #
part333A
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
03-30-2020
End Marketing Date
01-21-2022
Listing Expiration
01-21-2022
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (75218-000). Click a package code to view its specific billing and regulatory data.

75218-000-02
1893 mL in 1 BOTTLE, PLASTIC

* 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 75218-000-01 identifies a specific commercial package of 3785 ml in 1 bottle, plastic of State Line Distillery Hand Sanitizer, labeled by State Line Distillery, 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 State Line Distillery, Llc on March 30, 2020. The current certification is valid through January 21, 2022.

How is this State Line Distillery, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75218000001. 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)
75218-000-01
11-Digit CMS (5-4-2)
75218-0000-01

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