NDC codes

FDA NDC Directory
Product NDC (as listed)82083-0028Labeler and product segments. Claims need a package NDC.
Product NDC at billing width82083-0028Add 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
82083-0028-18208300280130 mL in 1 BOTTLE, DROPPER (82083-0028-1)Marketed from Dec 1, 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)
Derladie Laboratoire Pore Tightening Ampoule
Generic name (nonproprietary)
niacinamide
Active ingredients
Niacinamide20 g/100mL
Dosage form
Liquid
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 82083-0028_0be5f801-9960-dbac-e063-6394a90a86a1SPL ID 0be5f801-9960-dbac-e063-6394a90a86a1SPL set ID 0be5f72e-f80e-6cfa-e063-6394a90a3fc3UNII 25X51I8RD4UPC 8809713361178

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

N482083002801 followed by a unit qualifier and the quantity

Package 82083-0028-01. 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

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