Survivex Travel Med Mod Kit
NDC Package 87625-200-01

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

Package Information

Survivex Travel Med Mod (convenience kit) kits is please see outer packaging and individual inserts for full drug facts. This formulation utilizes a kit delivery system. Marketed by Intent Brands Llc, this product is identified by NDC 87625-200 and is authorized under FDA application M013.

Identification & Billing

NDC Package Code
87625-200-01
Package Description
1 KIT in 1 KIT
Product Code
87625-200
11-Digit Billing Format
87625020001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Survivex Travel Med Mod
Non-Proprietary Name
Convenience Kit
Dosage Form
Kit - A packaged collection of related material.
Administration Route
Oral - Administration to or by way of the mouth.
Usage Information
Please see outer packaging and individual inserts for full drug facts.

Regulatory & Marketing

Labeler Name
Intent Brands Llc
Product Type
Human Otc Drug
FDA Application #
M013
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-18-2026
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 87625-200-01 identifies a specific commercial package of 1 kit in 1 kit of Survivex Travel Med Mod, a human over the counter drug labeled by Intent Brands Llc. This kit is formulated for oral use and contains 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 Intent Brands Llc on May 18, 2026. The current certification is valid through December 31, 2027.

How is this Intent Brands Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 87625020001. 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)
87625-200-01
11-Digit CMS (5-4-2)
87625-0200-01

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