Puriya Antifungal Balm Cream
NDC Package 84711-001-02

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

Package Information

Puriya Antifungal Balm (zinc undecylenate) cream is uses• Treats athlete's loot, jock itch and ringworm • Relieves itchlng,burning, cracking and scaling which accompany these conditions. This formulation utilizes a cream delivery system. Marketed by Ipc Republic, Inc., this product is identified by NDC 84711-001 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
84711-001-02
Package Description
1 JAR in 1 BOX / 5.7 g in 1 JAR
Product Code
84711-001
11-Digit Billing Format
84711000102
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Puriya Antifungal Balm
Non-Proprietary Name
Zinc Undecylenate
Substance Name
Zinc Undecylenate
Dosage Form
Cream - An emulsion, semisolid3 dosage form, usually containing > 20% water and volatiles5 and/or < 50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
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)
ZINC UNDECYLENATE 5.7 g/57g
Usage Information
Uses• Treats athlete's loot, jock itch and ringworm • Relieves itchlng,burning, cracking and scaling which accompany these conditions

Regulatory & Marketing

Labeler Name
Ipc Republic, Inc.
Product Type
Human Otc Drug
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-04-2021
Listing Expiration
12-31-2027
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 84711-001-02 identifies a specific commercial package of 1 jar in 1 box / 5.7 g in 1 jar of Puriya Antifungal Balm, a human over the counter drug labeled by Ipc Republic, Inc.. This cream is formulated for topical use and contains zinc undecylenate 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 Ipc Republic, Inc. on June 04, 2021. The current certification is valid through December 31, 2027.

How is this Ipc Republic, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84711000102. 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)
84711-001-02
11-Digit CMS (5-4-2)
84711-0001-02

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