Nisc Pure 50%
NDC Package 75771-101-33

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 inactivated by the FDA.

Nisc Pure 50% is • clean affected area• apply small amount of this product on the area 1-3 times daily• May be covered with a sterile bandage• If bandaged, let dry first. Marketed by Nowrez & Ismail Shukri Company, this product is identified by NDC 75771-101 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
75771-101-33
Package Description
473 mL in 1 BOTTLE
Product Code
75771-101
11-Digit Billing Format
75771010133
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Nisc Pure 50% Rubbing Alcohol
Dosage Form
-
Usage Information
• clean affected area• apply small amount of this product on the area 1-3 times daily• May be covered with a sterile bandage• If bandaged, let dry first

Regulatory & Marketing

Labeler Name
Nowrez & Ismail Shukri Company
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
03-08-2021
Listing Expiration
12-31-2024
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (75771-101). Click a package code to view its specific billing and regulatory data.

75771-101-22
355 mL in 1 BOTTLE

* 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 75771-101-33 identifies a specific commercial package of 473 ml in 1 bottle of Nisc Pure 50% Rubbing Alcohol, labeled by Nowrez & Ismail Shukri Company. 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 Nowrez & Ismail Shukri Company on March 08, 2021. The current certification is valid through December 31, 2024.

How is this Nowrez & Ismail Shukri Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75771010133. 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)
75771-101-33
11-Digit CMS (5-4-2)
75771-0101-33

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