Over-the-counter drug · NDA
Provon Antimicrobial Foam Handwash NDC 0116-8500
chlorhexidine gluconate 2% · Chlorhexidine gluconate 20 mg/mL · Solution · Topical · Xttrium Laboratories, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0116-8500-89 | 00116850089 | 1200 mL in 1 BOTTLE, DISPENSING (0116-8500-89)Marketed from Jul 1, 2016 | |
| 0116-8500-90 | 00116850090 | 1250 mL in 1 BOTTLE, DISPENSING (0116-8500-90)Marketed from Jul 1, 2016 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
- Provon Antimicrobial Foam Handwash
- Generic name (nonproprietary)
- chlorhexidine gluconate 2%
- Active ingredients
- Chlorhexidine gluconate — 20 mg/mL
- Dosage form
- Solution
- Route
- Topical
- Labeler
- Xttrium Laboratories, Inc.
- Product type
- Over-the-counter drug
- Marketing category
- NDA — New Drug ApplicationApplication NDA 019422
- Marketing start
- Listing expires
- Other FDA classes
- Decreased Cell Wall Integrity (Physiologic effect)
- Identifiers
- Product ID 0116-8500_340029e6-b385-3a47-e063-6394a90acbc9SPL ID 340029e6-b385-3a47-e063-6394a90acbc9SPL set ID 46dd136c-d569-0450-e054-00144ff8d46cRxCUI 1245230UNII MOR84MUD8E
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
N400116850089followed by a unit qualifier and the quantityPackage 00116-8500-89. 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 healthcare personnel handwash: helps reduce bacteria that potentially can cause disease surgical hand scrub: significantly reduces the number of microorganisms on the hands and forearms prior to surgery or patient care
Excerpt only. Read the full label for complete information.
Other NDCs under NDA 019422
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Antimicrobial Skin Cleanserchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | Gojo Industries, Inc. | 21749-106 |
| Purell Antimicrobial Foamchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-225 |
| Purell Antimicrobial Foamchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-225 |
| Antimicrobial Foam Handwashchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-416 |
| Antiseptic Foam Handwashchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-461 |
| Dyna-Hex 2chlorhexidine gluconate | Chlorhexidine gluconate 2 g/100mL | LiquidTopical | Xttrium Laboratories, Inc. | 0116-1021 |
| Dyna-Hex 2chlorhexidine gluconate | Chlorhexidine gluconate 2 g/100mL | LiquidTopical | Xttrium Laboratories, Inc. | 0116-1021 |
| Dyna-Hex 2chlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-1022 |
| Dyna-Hex 2chlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-1022 |
| Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Gojo Industries, Inc. | 21749-850 |
| Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Gojo Industries, Inc. | 21749-850 |
| Bactoshield CHG Chlorhexidine Gluconatechlorhexidine gluconate | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | SC Johnson Professional USA, Inc. | 11084-038 |
| Bactoshield CHGchlorhexidine gluconate 2% | Chlorhexidine gluconate 2 mg/100mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-0038 |
| foaming hand washchlorhexidine gluconate | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | Medline Industries, LP | 53329-994 |