The Fact Hair Care Scalp Booster Ampoule
NDC Package 77049-0013-1

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

Package Information

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

The Fact Hair Care Scalp Booster Ampoule is shake the product thoroughly, then apply evenly onto the scalp with the massage roller. Marketed by Interkos Co.,ltd., this product is identified by NDC 77049-0013.

Identification & Billing

NDC Package Code
77049-0013-1
Package Description
20 mL in 1 TUBE
Product Code
77049-0013
11-Digit Billing Format
77049001301
RxNorm Crosswalk
  • RxCUI: 1046534 - salicylic acid 0.25 % / dexpanthenol 0.2 % / levomenthol 0.3 % Topical Solution
  • RxCUI: 1046534 - dexpanthenol 2 MG/ML / levomenthol 3 MG/ML / salicylic acid 2.5 MG/ML Topical Solution
  • RxCUI: 1046534 - dexpanthenol 0.2 % / levomenthol 0.3 % / salicylic acid 0.25 % Topical Solution

Clinical Specifications

Proprietary Name
The Fact Hair Care Scalp Booster Ampoule
Dosage Form
-
Usage Information
Shake the product thoroughly, then apply evenly onto the scalp with the massage roller.

Regulatory & Marketing

Labeler Name
Interkos Co.,ltd.
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
02-11-2023
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 77049-0013-1 identifies a specific commercial package of 20 ml in 1 tube of The Fact Hair Care Scalp Booster Ampoule, labeled by Interkos Co.,ltd.. 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 Interkos Co.,ltd. on February 11, 2023. The current certification is valid through December 31, 2024.

How is this Interkos Co.,ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 77049001301. 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 (5-4-1)
77049-0013-1
11-Digit CMS (5-4-2)
77049-0013-01

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