Aluroderm Scar Patch
NDC Package 76420-955-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Aluroderm Scar (allantoin) patches is adults and Children 12 Years of Age and Older-Clean and dry the affected area-Apply as needed. This formulation utilizes a patch delivery system. Marketed by Asclemed Usa, Inc., this product is identified by NDC 76420-955 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
76420-955-01
Package Description
1 POUCH in 1 BOX / 5 PATCH in 1 POUCH / 8.5 g in 1 PATCH
Product Code
76420-955
11-Digit Billing Format
76420095501
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Aluroderm Scar
Non-Proprietary Name
Allantoin
Substance Name
Allantoin
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
Administration Route
Cutaneous - Administration to the skin.
Active Ingredient(s)
ALLANTOIN .0075 g/g
Usage Information
Adults and Children 12 Years of Age and Older-Clean and dry the affected area-Apply as needed

Regulatory & Marketing

Labeler Name
Asclemed Usa, Inc.
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-01-2025
Listing Expiration
12-31-2026
Exclude Flag
N
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 76420-955-01 identifies a specific commercial package of 1 pouch in 1 box / 5 patch in 1 pouch / 8.5 g in 1 patch of Aluroderm Scar, a human over the counter drug labeled by Asclemed Usa, Inc.. This patch is formulated for cutaneous use and contains allantoin as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Asclemed Usa, Inc. on April 01, 2025. The current certification is valid through December 31, 2026.

How is this Asclemed Usa, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76420095501. 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)
76420-955-01
11-Digit CMS (5-4-2)
76420-0955-01

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