Revitalize Sports Hand Sanitizer
NDC Package 81250-080-94

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.

Revitalize Sports Hand Sanitizer is apply as needed into the palm of hand and thoroughly spread on both hands, rub until dry. Marketed by Revive Sports Inc., this product is identified by NDC 81250-080 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
81250-080-94
Package Description
4 mL in 1 BOTTLE
Product Code
81250-080
11-Digit Billing Format
81250008094
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Revitalize Sports Hand Sanitizer
Dosage Form
-
Usage Information
Apply as needed into the palm of hand and thoroughly spread on both hands, rub until dry. Supervise children under 6 years of age when using product.

Regulatory & Marketing

Labeler Name
Revive Sports Inc.
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
12-18-2020
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 81250-080-94 identifies a specific commercial package of 4 ml in 1 bottle of Revitalize Sports Hand Sanitizer, labeled by Revive Sports Inc.. 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 Revive Sports Inc. on December 18, 2020. The current certification is valid through December 31, 2021.

How is this Revive Sports Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 81250008094. 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)
81250-080-94
11-Digit CMS (5-4-2)
81250-0080-94

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