Novana Moisturizing
NDC Package 76077-200-07

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Novana Moisturizing is directionsApply as needed. Marketed by Novana Medical Llc, this product is identified by NDC 76077-200 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
76077-200-07
Package Description
210 mL in 1 TUBE
Product Code
11-Digit Billing Format
76077020007
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.

Clinical Specifications

Proprietary Name
Novana Moisturizing
Dosage Form
-
Usage Information
DirectionsApply as needed.

Regulatory & Marketing

Labeler Name
Novana Medical Llc
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
04-04-2012
Listing Expiration
12-31-2017
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 (76077-200). Click a package code to view its specific billing and regulatory data.

120 mL in 1 TUBE
270 mL in 1 TUBE

* 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 76077-200-07 identifies a specific commercial package of 210 ml in 1 tube of Novana Moisturizing, labeled by Novana Medical 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 Novana Medical Llc on April 04, 2012. The current certification is valid through December 31, 2017.

How is this Novana Medical Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76077020007. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. 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)
76077-200-07
11-Digit CMS (5-4-2)
76077-0200-07

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