Over-the-counter drug · OTC MONOGRAPH FINAL
Skinpharmacy Advanced Acne Therapy Pore Refining Facial Mask (Salicylic acid) NDC 69842-077
Salicylic acid 5 mg/mL · Liquid · Topical · CVS Health
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-077-01 | 6984200770169842007701 | 1 TUBE in 1 CARTON (69842-077-01) / 99 mL in 1 TUBEMarketed from Jul 1, 2016 |
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)
- Skinpharmacy Advanced Acne Therapy Pore Refining Facial Mask
- Generic name (nonproprietary)
- salicylic acid
- Active ingredients
- Salicylic acid — 5 mg/mL
- Dosage form
- Liquid
- Route
- Topical
- Labeler
- CVS HealthNDC labeler code 69842
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph (final)Application part333D
- Marketing start
- Listing expires
- Identifiers
- Product ID 69842-077_94fc9904-3118-4e9f-8e1f-a640f2cfbfa8SPL ID 94fc9904-3118-4e9f-8e1f-a640f2cfbfa8SPL set ID 03bbb445-4c6b-4f54-bd95-9f5764eae4e4RxCUI 865105UNII O414PZ4LPZ
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
N469842007701followed by a unit qualifier and the quantityPackage 69842-0077-01. 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)
Use for the management of acne
Excerpt only. Read the full label for complete information.
About NDC 69842-077
- What is NDC 69842-077?
- 69842-077 is the product NDC for Skinpharmacy Advanced Acne Therapy Pore Refining Facial Mask, Salicylic acid 5 mg/mL liquid, listed with the FDA by CVS Health. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Skinpharmacy Advanced Acne Therapy Pore Refining Facial Mask (Salicylic acid).
- What is the active ingredient?
- Salicylic acid.
- Who is the labeler?
- CVS Health, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Skinpharmacy Advanced Acne Therapy Pore Refining Facial Mask?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Other NDCs under part333D
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.