Bliss Republic Dark Spot Wand
NDC Package 84028-112-11

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Bliss Republic Dark Spot Wand is age: 18+ Use once a day (morning orevening) to well-cleansed skinApply sparingly and directlyto dark spots. Marketed by Sargass Group Limited Liability Company, this product is identified by NDC 84028-112 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
84028-112-11
Package Description
15 mL in 1 BOTTLE
Product Code
84028-112
11-Digit Billing Format
84028011211

Clinical Specifications

Proprietary Name
Bliss Republic Dark Spot Wand
Dosage Form
-
Usage Information
Age: 18+ Use once a day (morning orevening) to well-cleansed skinApply sparingly and directlyto dark spots.

Regulatory & Marketing

Labeler Name
Sargass Group Limited Liability Company
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-03-2024
Listing Expiration
12-31-2025
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (84028-112). Click a package code to view its specific billing and regulatory data.

84028-112-12
30 mL in 1 BOTTLE

* 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 84028-112-11 identifies a specific commercial package of 15 ml in 1 bottle of Bliss Republic Dark Spot Wand, labeled by Sargass Group Limited Liability Company. 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 Sargass Group Limited Liability Company on January 03, 2024. The current certification is valid through December 31, 2025.

How is this Sargass Group Limited Liability Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84028011211. 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)
84028-112-11
11-Digit CMS (5-4-2)
84028-0112-11

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