NDC codes

FDA NDC Directory
Product NDC (as listed)71217-0052Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71217-0052Add 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 NDC11-digit (billing)PackageCopy
71217-0052-17121700520115 mL in 1 TUBE (71217-0052-1)Marketed from Jan 15, 2023
71217-0052-27121700520250 mL in 1 BOTTLE (71217-0052-2)Marketed from Jan 15, 2023
71217-0052-371217005203120 mL in 1 TUBE (71217-0052-3)Marketed from Jan 15, 2023

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Puritying Skin BalanceCream
Generic name (nonproprietary)
hexyl cinnamal, limonene
Active ingredients
.alpha.-hexylcinnamaldehyde — .00244785 g/100mLLimonene, (+)- — .001156785 g/100mL
Dosage form
Cream
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 71217-0052_f37480e6-5c40-7d6c-e053-2a95a90accdcSPL ID f37480e6-5c40-7d6c-e053-2a95a90accdcSPL set ID f3743bc8-4747-4702-e053-2a95a90a0888UNII 7X6O37OK2I, GFD7C86Q1W

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

N471217005201 followed by a unit qualifier and the quantity

Package 71217-0052-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

apply a generous amount on face and spread evenly

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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