Pureskin Bed And Pressure Sore
NDC Package 87217-001-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

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

Pureskin Bed And Pressure Sore is apply as needed. Marketed by Benlong Hall Llc, this product is identified by NDC 87217-001 and is authorized under FDA application M016.

Identification & Billing

NDC Package Code
87217-001-01
Package Description
141 g in 1 JAR
Product Code
11-Digit Billing Format
87217000101

Clinical Specifications

Proprietary Name
Pureskin Bed And Pressure Sore
Dosage Form
-
Usage Information
Apply as needed

Regulatory & Marketing

Labeler Name
Benlong Hall Llc
FDA Application #
M016
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-16-2025
Listing Expiration
12-31-2026
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 87217-001-01 identifies a specific commercial package of 141 g in 1 jar of Pureskin Bed And Pressure Sore, labeled by Benlong Hall Llc. 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 Benlong Hall Llc on December 16, 2025. The current certification is valid through December 31, 2026.

How is this Benlong Hall Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 87217000101. 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)
87217-001-01
11-Digit CMS (5-4-2)
87217-0001-01

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