Dermeleve Anti Itch Scalp Serum Solution
NDC Package 81507-004-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Dermeleve Anti Itch Scalp Serum (aluminum acetate) solution is adults and children two years of age and older, apply to affected area as needed or as directed by a doctor. This formulation utilizes a solution delivery system. Marketed by Advanced Derm Solutions Llc, this product is identified by NDC 81507-004 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
81507-004-01
Package Description
89 mL in 1 BOTTLE
Product Code
81507-004
11-Digit Billing Format
81507000401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dermeleve Anti Itch Scalp Serum
Non-Proprietary Name
Aluminum Acetate
Substance Name
Aluminum Acetate
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
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.
Active Ingredient(s)
ALUMINUM ACETATE .2 g/100mL
Usage Information
Adults and children two years of age and older, apply to affected area as needed or as directed by a doctor. Twist the flow-control cap to open. Apply directly to scalp, rub in if needed. Consult a doctor for children under the age of two.

Regulatory & Marketing

Labeler Name
Advanced Derm Solutions Llc
Product Type
Human Otc Drug
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-02-2023
Listing Expiration
12-31-2026
Exclude Flag
N
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 81507-004-01 identifies a specific commercial package of 89 ml in 1 bottle of Dermeleve Anti Itch Scalp Serum, a human over the counter drug labeled by Advanced Derm Solutions Llc. This solution is formulated for topical use and contains aluminum acetate 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 Advanced Derm Solutions Llc on June 02, 2023. The current certification is valid through December 31, 2026.

How is this Advanced Derm Solutions Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 81507000401. 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)
81507-004-01
11-Digit CMS (5-4-2)
81507-0004-01

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