Over-the-counter drug · OTC MONOGRAPH DRUG
Instant Foam Non-alcohol PURE Hand Sanitizer (Benzalkonium chloride) NDC 11084-300
Benzalkonium chloride .13 g/100mL · Liquid · Topical · SC Johnson Professional USA, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 11084-300-12 | 1108403001211084030012 | 1200 mL in 1 BOTTLE, PLASTIC (11084-300-12)Marketed from Apr 15, 2020 | |
| 11084-300-66 | 1108403006611084030066 | 1000 mL in 1 BOTTLE (11084-300-66)Marketed from Feb 17, 2023 |
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)
- Instant Foam Non-alcohol PURE Hand Sanitizer
- Generic name (nonproprietary)
- benzalkonium chloride
- Active ingredients
- Benzalkonium chloride — .13 g/100mL
- Dosage form
- Liquid
- Route
- Topical
- Labeler
- SC Johnson Professional USA, Inc.NDC labeler code 11084
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 505G(a)(3)
- Marketing start
- Listing expires
- Identifiers
- Product ID 11084-300_218bf8d3-a6db-4d18-8511-86adad611144SPL ID 218bf8d3-a6db-4d18-8511-86adad611144SPL set ID fc557f8d-7ebe-4434-a350-602efbbb9c6eRxCUI 1020365UNII F5UM2KM3W7
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
N411084030012followed by a unit qualifier and the quantityPackage 11084-0300-12. 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 to decrease bacteria on the skin that could cause disease
Excerpt only. Read the full label for complete information.
About NDC 11084-300
- What is NDC 11084-300?
- 11084-300 is the product NDC for Instant Foam Non-alcohol PURE Hand Sanitizer, Benzalkonium chloride .13 g/100mL liquid, listed with the FDA by SC Johnson Professional USA, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Instant Foam Non-alcohol PURE Hand Sanitizer (Benzalkonium chloride).
- What is the active ingredient?
- Benzalkonium chloride.
- Who is the labeler?
- SC Johnson Professional USA, Inc., NDC labeler code 11084. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Instant Foam Non-alcohol PURE Hand Sanitizer?
- 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 505G(a)(3)
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
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