Over-the-counter drug · UNAPPROVED DRUG OTHER
Albothyl (policresulen solution) NDC 72988-0035
Policresulen 720 mg/g · Liquid · Oral · Lydia Co., Ltd.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 72988-0035-1 | 72988003501 | 5 g in 1 BOTTLE (72988-0035-1)Marketed from Jan 23, 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)
- Albothyl
- Generic name (nonproprietary)
- policresulen solution
- Active ingredients
- Policresulen — 720 mg/g
- Dosage form
- Liquid
- Route
- Oral
- Labeler
- Lydia Co., Ltd.
- Product type
- Over-the-counter drug
- Marketing category
- Unapproved drug (other)
- Marketing start
- Listing expires
- Identifiers
- Product ID 72988-0035_001d54ef-148b-e55a-e063-6294a90a7c40SPL ID 001d54ef-148b-e55a-e063-6294a90a7c40SPL set ID f2ea4e1b-a3d7-d063-e053-2a95a90a6d0bUNII 6I19M5GB0G
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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N472988003501followed by a unit qualifier and the quantityPackage 72988-0035-01. 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)
Adults and children 2 years of age and older: rinse half of a capful around in the mouth over affected area for at least 1 minute, then spit out. Use up to 4 times daily after meals and at bedtime or as directed by a dentist or physician. Children under 12 years of age should be supervised in the use of the product. Children under 2 years of age: consult a dentist or physician. To open child safety cap, squeeze smooth sides while turning. Reclose tightly
Excerpt only. Read the full label for complete information.