NDC codes

FDA NDC Directory
Product NDC (as listed)11822-0116Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-0116Add 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
11822-0116-511822011605237 mL in 1 BOTTLE (11822-0116-5)Marketed from Mar 25, 2021

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)
Antiseptic Skin Cleanser
Generic name (nonproprietary)
chlorhexidine gluconate 4%
Active ingredients
Chlorhexidine gluconate — 4 g/100mL
Dosage form
Liquid
Route
Topical
Labeler
Rite Aid
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019125
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 11822-0116_be5df410-f894-a68f-e053-2995a90a1858SPL ID be5df410-f894-a68f-e053-2995a90a1858SPL set ID be5df410-f893-a68f-e053-2995a90a1858RxCUI 211365UNII 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

N411822011605 followed by a unit qualifier and the quantity

Package 11822-0116-05. 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 surgical hand scrub: significantly reduces the number of microorganisms on the hands and forearms proir to surgery or patient care healthcare personnel handwash: helkps reduce bacteria that potentially can cause disease skin wound and general skin cleansing

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019125

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019125
ProductStrengthForm · routeLabelerProduct NDC
Betaseptantiseptic surgical scrubChlorhexidine gluconate .04 mg/mLSolutionTopicalXttrium Laboratories, Inc.0116-0200
Antiseptic Skin Cleanserchlorhexidine gluconateChlorhexidine gluconate 4 g/100mLSolutionTopicalMcKesson Medical-Surgical68599-5401
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 mg/100mLLiquidTopicalXttrium Laboratories, Inc.0116-0401
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 mg/100mLLiquidTopicalRite Aid Corporation11822-3678
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 mg/100mLLiquidTopicalWalgreen Co.0363-1061
Antiseptic Skin Cleanserchlorhexidine gluconateChlorhexidine gluconate 4 g/100mLSolutionTopicalXttrium Laboratories, Inc.0116-0407
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 mg/100mLLiquidTopicalMeijer Distribution, Inc.41250-162
CliniCleanchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLSolutionTopicalXttrium Laboratories, Inc.0116-0901
CliniCleanchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLSolutionTopicalHR Pharmaceuticals, Inc.69464-901
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 mg/100mLLiquidTopicalAmerisourceBergen Drug Corporation46122-137
Bactoshield CHGchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalSC Johnson Professional USA, Inc.11084-039
Dyna-Hex 4chlorhexidine gluconateChlorhexidine gluconate 4 g/100mLLiquidTopicalXttrium Laboratories, Inc.0116-1060
Antiseptic Skin Cleanserchlorhexidine gluconateChlorhexidine gluconate 4 g/100mLSolutionTopicalXttrium Laboratories, Inc.0116-1061
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLLiquidTopicalCVS Pharmacy, Inc.59779-767
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLSolutionTopicalRite Aid11822-0891
Antiseptic Skin Cleanserchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLLiquidTopicalXttrium Laboratories, Inc.0116-0767
Antiseptic Skin Cleanserchlorhexidine gluconateChlorhexidine gluconate 4 g/100mLSolutionTopicalXttrium Laboratories, Inc.0116-1061
Antiseptic Solutionchlorhexidine gluconate 4%Chlorhexidine gluconate 4 g/100mLSolutionTopicalColoplast Corp11701-172
Antiseptic Skin Cleanserchlorhexidine gluconateChlorhexidine gluconate 4 g/100mLSolutionTopicalXttrium Laboratories, Inc.0116-1061
Bactoshield CHGchlorhexidine gluconate 4%Chlorhexidine gluconate 2 mg/100mLSolutionTopicalXttrium Laboratories, Inc.0116-0039

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