Dr. Rothmans Dermashield
NDC Package 89153-796-04

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.

Dr. Rothmans Dermashield is sanitizer and moisturizer. Marketed by High Desert Pharmaceutics, Inc., this product is identified by NDC 89153-796 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
89153-796-04
Package Description
60 g in 1 BOTTLE, SPRAY
Product Code
89153-796
11-Digit Billing Format
89153079604
RxNorm Crosswalk
  • RxCUI: 1598027 - ethanol 62 % / benzalkonium chloride 0.1 % Topical Spray
  • RxCUI: 1598027 - benzalkonium chloride 1 MG/ML / ethanol 0.62 ML/ML Topical Spray
  • RxCUI: 1598027 - benzalkonium chloride 0.1 % / ethanol 62 % Topical Spray

Clinical Specifications

Proprietary Name
Dr. Rothmans Dermashield
Dosage Form
-
Usage Information
Sanitizer and moisturizer

Regulatory & Marketing

Labeler Name
High Desert Pharmaceutics, Inc.
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
01-01-2015
Listing Expiration
12-31-2017
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 89153-796-04 identifies a specific commercial package of 60 g in 1 bottle, spray of Dr. Rothmans Dermashield, labeled by High Desert Pharmaceutics, Inc.. 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 High Desert Pharmaceutics, Inc. on January 01, 2015. The current certification is valid through December 31, 2017.

How is this High Desert Pharmaceutics, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 89153079604. 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)
89153-796-04
11-Digit CMS (5-4-2)
89153-0796-04

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