Prism Health Lab Hand Sanitizer
NDC Package 81064-792-04

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.

Prism Health Lab Hand Sanitizer is place enough product on hands to cover all surfaces. Marketed by Prism Holistic Care Ltd., this product is identified by NDC 81064-792 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
81064-792-04
Package Description
3785 mL in 1 BOTTLE
Product Code
81064-792
11-Digit Billing Format
81064079204

Clinical Specifications

Proprietary Name
Prism Health Lab Hand Sanitizer
Dosage Form
-
Usage Information
Place enough product on hands to cover all surfaces. Rub hands together until dry.Supervise children under 6 years of age when using this product to avoid swallowing.

Regulatory & Marketing

Labeler Name
Prism Holistic Care Ltd.
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
02-01-2020
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 81064-792-04 identifies a specific commercial package of 3785 ml in 1 bottle of Prism Health Lab Hand Sanitizer, labeled by Prism Holistic Care 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 Prism Holistic Care Ltd. on February 01, 2020. The current certification is valid through December 31, 2022.

How is this Prism Holistic Care Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 81064079204. 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)
81064-792-04
11-Digit CMS (5-4-2)
81064-0792-04

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