Elp Essential Manteca De Ubre Ointment
NDC Package 79974-210-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Elp Essential Manteca De Ubre (methyl salicylate, camphor) ointment is wash the area with mild soap and warm water, rinse thoroughly. This formulation utilizes a ointment delivery system. Marketed by Miramar Cosmetics, Inc Dba Miramar Lab, this product is identified by NDC 79974-210 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
79974-210-04
Package Description
113 g in 1 TUBE
Product Code
11-Digit Billing Format
79974021004
RxNorm Crosswalk
  • RxCUI: 2668189 - camphor 4 % / methyl salicylate 10 % Topical Ointment
  • RxCUI: 2668189 - camphor 0.04 MG/MG / methyl salicylate 0.1 MG/MG Topical Ointment

Clinical Specifications

Proprietary Name
Elp Essential Manteca De Ubre
Non-Proprietary Name
Methyl Salicylate, Camphor
Substance Name
Camphor (natural); Methyl Salicylate
Dosage Form
Ointment - A semisolid3 dosage form, usually containing <20% water and volatiles5 and >50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Usage Information
Wash the area with mild soap and warm water, rinse thoroughly. Apply generously and gently massage the affected area not more than 1 to 4 times daily. For Adults and Children 12 years of age and older. Children under 12 years of age or younger, ask a doctor.

Regulatory & Marketing

Labeler Name
Miramar Cosmetics, Inc Dba Miramar Lab
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-05-2024
End Marketing Date
01-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

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 79974-210-04 identifies a specific commercial package of 113 g in 1 tube of Elp Essential Manteca De Ubre, a human over the counter drug labeled by Miramar Cosmetics, Inc Dba Miramar Lab. This ointment is formulated for topical use and contains camphor (natural); methyl salicylate 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 Miramar Cosmetics, Inc Dba Miramar Lab on January 05, 2024.

How is this Miramar Cosmetics, Inc Dba Miramar Lab product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79974021004. 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)
79974-210-04
11-Digit CMS (5-4-2)
79974-0210-04

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