Pharma Cleanse
NDC Package 79040-003-01

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.

Pharma Cleanse is apply to hands and skin. Marketed by Pharma Health Llc, this product is identified by NDC 79040-003 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
79040-003-01
Package Description
160 NOT APPLICABLE in 1 PACKAGE / 160 mL in 1 NOT APPLICABLE
Product Code
79040-003
11-Digit Billing Format
79040000301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pharma Cleanse
Dosage Form
-
Usage Information
Apply to hands and skin. No rinsing required. Discard after use.After opening, the seal should be closed to avoid evaporation of the alcohol.Children under 6 years of age should be supervised when using this product.

Regulatory & Marketing

Labeler Name
Pharma Health Llc
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
06-30-2020
Listing Expiration
12-31-2021
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 79040-003-01 identifies a specific commercial package of 160 not applicable in 1 package / 160 ml in 1 not applicable of Pharma Cleanse, labeled by Pharma Health 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 Pharma Health Llc on June 30, 2020. The current certification is valid through December 31, 2021.

How is this Pharma Health Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79040000301. 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)
79040-003-01
11-Digit CMS (5-4-2)
79040-0003-01

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