Supa Clean Disinfectant
NDC Package 75635-021-86

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.

Supa Clean Disinfectant is a . Marketed by Light House Candles, Llc, this product is identified by NDC 75635-021 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
75635-021-86
Package Description
1 BOTTLE, SPRAY in 1 POUCH / 110 mL in 1 BOTTLE, SPRAY (75635-021-85)
Product Code
75635-021
11-Digit Billing Format
75635002186
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Supa Clean Disinfectant
Dosage Form
-

Regulatory & Marketing

Labeler Name
Light House Candles, 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
05-27-2020
Listing Expiration
12-31-2021
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 75635-021-86 identifies a specific commercial package of 1 bottle, spray in 1 pouch / 110 ml in 1 bottle, spray (75635-021-85) of Supa Clean Disinfectant, labeled by Light House Candles, 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 Light House Candles, Llc on May 27, 2020. The current certification is valid through December 31, 2021.

How is this Light House Candles, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75635002186. 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)
75635-021-86
11-Digit CMS (5-4-2)
75635-0021-86

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