Benzo Derma
NDC Package 84058-130-01

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.

Benzo Derma is aGAINST ECZEMA, PIMPLES AND OTHER SKIN CONDITIONS. Marketed by Laboratorios H.g. C.a., this product is identified by NDC 84058-130 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
84058-130-01
Package Description
3 CAN in 1 BOX, UNIT-DOSE / 12.5 g in 1 CAN
Product Code
84058-130
11-Digit Billing Format
84058013001

Clinical Specifications

Proprietary Name
Benzo Derma
Dosage Form
-
Usage Information
AGAINST ECZEMA, PIMPLES AND OTHER SKIN CONDITIONS

Regulatory & Marketing

Labeler Name
Laboratorios H.g. C.a.
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-22-2024
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 84058-130-01 identifies a specific commercial package of 3 can in 1 box, unit-dose / 12.5 g in 1 can of Benzo Derma, labeled by Laboratorios H.g. C.a.. 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 Laboratorios H.g. C.a. on April 22, 2024. The current certification is valid through December 31, 2025.

How is this Laboratorios H.g. C.a. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84058013001. 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)
84058-130-01
11-Digit CMS (5-4-2)
84058-0130-01

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