NDC codes

FDA NDC Directory
Product NDC (as listed)84870-202Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84870-0202Add 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
84870-202-05848700202055 POUCH in 1 PACKAGE (84870-202-05) / 25 mL in 1 POUCHMarketed from Nov 12, 2024

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)
MoistiMed Anti-Acne Mask
Generic name (nonproprietary)
mask
Active ingredients
Rheum officinale root — .15 g/.15mL
Dosage form
Poultice
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 84870-202_e9fb0518-0b10-4a4b-9af9-ab5daae3ec6dSPL ID e9fb0518-0b10-4a4b-9af9-ab5daae3ec6dSPL set ID 1f043a42-13d0-4c66-a027-08d7703e2578UNII A47JP5ZG9M

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

N484870020205 followed by a unit qualifier and the quantity

Package 84870-0202-05. 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)

Uses Helps reduce the occurrence of acne and blackheads (including blackheads or whiteheads), and promotes the recovery of skin.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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