Derma-Smoothe/Fs (fluocinolone acetonide) NDC 68791-102

NDC codes

FDA NDC Directory

Product NDC (as listed)68791-102Labeler and product segments. Claims need a package NDC.

Product NDC at billing width68791-0102Add the package segment from the table below.

Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC	11-digit (billing)	Package	Copy
68791-102-04	68791010204	1 BOTTLE in 1 CARTON (68791-102-04) / 118.28 mL in 1 BOTTLEMarketed from Feb 16, 1995

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary): Derma-Smoothe/Fs
Generic name (nonproprietary): fluocinolone acetonide
Active ingredients: Fluocinolone acetonide — .11 mg/mL
Dosage form: Oil
Route: Topical
Labeler: Royal Pharmaceuticals
Product type: Prescription drug
Marketing category: NDA — New Drug ApplicationApplication NDA 019452
Marketing start: Feb 16, 1995
Listing expires: Dec 31, 2027
Other FDA classes: Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers: Product ID 68791-102_53d53b44-690e-93f5-e063-6394a90a4601SPL ID 53d53b44-690e-93f5-e063-6394a90a4601SPL set ID 113e167a-a9fe-440e-9446-d6d87963ef46RxCUI 1191307, 1191309UNII 0CD5FD6S2M
Pharmacologic class: Corticosteroid

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N468791010204 followed by a unit qualifier and the quantity

Package 68791-0102-04. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

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