Prologel Pain Relief
NDC Package 77496-101-11

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.

Prologel Pain Relief is shake well before each use. Marketed by Nova Neura, Llc, this product is identified by NDC 77496-101 and is authorized under FDA application part341.

Identification & Billing

NDC Package Code
77496-101-11
Package Description
148 mL in 1 BOTTLE, PUMP
Product Code
77496-101
11-Digit Billing Format
77496010111

Clinical Specifications

Proprietary Name
Prologel Pain Relief
Dosage Form
-
Usage Information
Shake well before each use. Keep cap on between uses.Adults and children 12 years of age or older:Apply generous amount to clean, unbroken skin.Allow lotion to rest on skin for approximately one minuteRub lotion into the target area.Reapply up to four times per day.Wash hands thoroughly after each application.

Regulatory & Marketing

Labeler Name
Nova Neura, Llc
FDA Application #
part341
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
12-01-2020
Listing Expiration
12-31-2022
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 77496-101-11 identifies a specific commercial package of 148 ml in 1 bottle, pump of Prologel Pain Relief, labeled by Nova Neura, 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 Nova Neura, Llc on December 01, 2020. The current certification is valid through December 31, 2022.

How is this Nova Neura, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 77496010111. 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)
77496-101-11
11-Digit CMS (5-4-2)
77496-0101-11

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