NDC codes

FDA NDC Directory
Product NDC (as listed)75124-0001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75124-0001Add 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
75124-0001-17512400010120000 mL in 1 BOTTLE (75124-0001-1)Marketed from Apr 1, 2020

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)
Pure O2-S F
Generic name (nonproprietary)
chlorine dioxide
Active ingredients
Chlorine dioxide — .005 g/100mL
Dosage form
Liquid
Route
Topical
Labeler
Pure O2
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 75124-0001_adfeccac-a851-8cb6-e053-2995a90ac488SPL ID adfeccac-a851-8cb6-e053-2995a90ac488SPL set ID a390128a-0331-0afa-e053-2a95a90a97bcUNII 8061YMS4RMUPC 8809628330009

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

N475124000101 followed by a unit qualifier and the quantity

Package 75124-0001-01. 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)

please see the label attached

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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