Whitening
NDC Package 80130-101-11

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 discontinued by the firm.

Whitening is a . Marketed by Selahatin Ab, this product is identified by NDC 80130-101 and is authorized under FDA application part355.

Identification & Billing

NDC Package Code
80130-101-11
Package Description
1 TUBE in 1 BOX / 65 mL in 1 TUBE
Product Code
80130-101
11-Digit Billing Format
80130010111

Clinical Specifications

Proprietary Name
Whitening All Variants
Dosage Form
-

Regulatory & Marketing

Labeler Name
Selahatin Ab
FDA Application #
part355
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
06-25-2021
End Marketing Date
06-25-2021
Listing Expiration
06-25-2021
Exclude Flag
D
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 80130-101-11 identifies a specific commercial package of 1 tube in 1 box / 65 ml in 1 tube of Whitening All Variants, labeled by Selahatin Ab. 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 Selahatin Ab on June 25, 2021. The current certification is valid through June 25, 2021.

How is this Selahatin Ab product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 80130010111. 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)
80130-101-11
11-Digit CMS (5-4-2)
80130-0101-11

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