Ido Swaba
NDC Package 77039-025-01

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.

Ido Swaba is directions  tear open packet and remove swab (pad)  apply to skin as needed to clean intended area  apply to cut, scrape or burn and discard after single use. Marketed by Ido Pharm, this product is identified by NDC 77039-025 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
77039-025-01
Package Description
.3 mL in 1 PATCH
Product Code
77039-025
11-Digit Billing Format
77039002501
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Ido Swaba
Dosage Form
-
Usage Information
Directions  tear open packet and remove swab (pad)  apply to skin as needed to clean intended area  apply to cut, scrape or burn and discard after single use

Regulatory & Marketing

Labeler Name
Ido Pharm
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
09-19-2023
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 (77039-025). Click a package code to view its specific billing and regulatory data.

77039-025-02
.7 mL in 1 PATCH

* 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 77039-025-01 identifies a specific commercial package of .3 ml in 1 patch of Ido Swaba, labeled by Ido Pharm. 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 Ido Pharm on September 19, 2023. The current certification is valid through December 31, 2024.

How is this Ido Pharm product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 77039002501. 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)
77039-025-01
11-Digit CMS (5-4-2)
77039-0025-01

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