Hydra Day Spf 20
NDC Package 76159-123-02

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.

Hydra Day Spf 20 is a . Marketed by 3lab, Inc, this product is identified by NDC 76159-123 and is authorized under FDA application part352.

Identification & Billing

NDC Package Code
76159-123-02
Package Description
6 mL in 1 TUBE
Product Code
76159-123
11-Digit Billing Format
76159012302

Clinical Specifications

Proprietary Name
Hydra Day Spf 20
Dosage Form
-

Regulatory & Marketing

Labeler Name
3lab, Inc
FDA Application #
part352
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
04-15-2011
End Marketing Date
03-05-2014
Listing Expiration
03-05-2014
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 (76159-123). Click a package code to view its specific billing and regulatory data.

76159-123-01
58 mL in 1 JAR

* 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 76159-123-02 identifies a specific commercial package of 6 ml in 1 tube of Hydra Day Spf 20, labeled by 3lab, Inc. 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 3lab, Inc on April 15, 2011. The current certification is valid through March 05, 2014.

How is this 3lab, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76159012302. 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)
76159-123-02
11-Digit CMS (5-4-2)
76159-0123-02

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