Biboya Azelaic Acid Tea Tree Acne Cream
NDC Package 84507-005-01

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.

Biboya Azelaic Acid Tea Tree Acne Cream is acne Treatment1,Treats and controls symptoms of Acne 2,Reduces redness and inflammation associated with Acne 3,Promotes even skin tone 4,Minimizes the appearance of blood vessels. Marketed by Guangdong Miaolian Cosmetics Co., Ltd., this product is identified by NDC 84507-005 and is authorized under FDA application M006.

Identification & Billing

NDC Package Code
84507-005-01
Package Description
20 g in 1 TUBE
Product Code
84507-005
11-Digit Billing Format
84507000501

Clinical Specifications

Proprietary Name
Biboya Azelaic Acid Tea Tree Acne Cream
Dosage Form
-
Usage Information
Acne Treatment1,Treats and controls symptoms of Acne 2,Reduces redness and inflammation associated with Acne 3,Promotes even skin tone 4,Minimizes the appearance of blood vessels

Regulatory & Marketing

Labeler Name
Guangdong Miaolian Cosmetics Co., Ltd.
FDA Application #
M006
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-16-2024
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 84507-005-01 identifies a specific commercial package of 20 g in 1 tube of Biboya Azelaic Acid Tea Tree Acne Cream, labeled by Guangdong Miaolian Cosmetics Co., 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 Guangdong Miaolian Cosmetics Co., Ltd. on August 16, 2024. The current certification is valid through December 31, 2025.

How is this Guangdong Miaolian Cosmetics Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84507000501. 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)
84507-005-01
11-Digit CMS (5-4-2)
84507-0005-01

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