Over-the-counter drug · OTC MONOGRAPH DRUG
PURELL HEALTHY SP BAK E2 Antimicrobial Foam Sp (Benzalkonium chloride) NDC 21749-113
Benzalkonium chloride .0013 mg/mL · Liquid · Topical · GOJO Industries, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21749-113-40 | 2174901134021749011340 | 2000 mL in 1 PACKAGE (21749-113-40)Marketed from Jan 1, 2022 | |
| 21749-113-42 | 2174901134221749011342 | 1250 mL in 1 PACKAGE (21749-113-42)Marketed from Jan 1, 2022 | |
| 21749-113-67 | 2174901136721749011367 | 1200 mL in 1 PACKAGE (21749-113-67)Marketed from Jan 1, 2022 |
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)
- PURELL HEALTHY SP BAK E2 Antimicrobial Foam Sp
- Generic name (nonproprietary)
- benzalkonium chloride
- Active ingredients
- Benzalkonium chloride — .0013 mg/mL
- Dosage form
- Liquid
- Route
- Topical
- Labeler
- GOJO Industries, Inc.NDC labeler code 21749
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 505G(a)(3)
- Marketing start
- Listing expires
- Identifiers
- Product ID 21749-113_2864054a-7e5d-2024-e063-6394a90a3d22SPL ID 2864054a-7e5d-2024-e063-6394a90a3d22SPL set ID 4ea02d8a-cb03-4e9e-b63d-72b83fa816f8UNII F5UM2KM3W7UPC 0073852518078
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
N421749011340followed by a unit qualifier and the quantityPackage 21749-0113-40. 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 • Handwash to help decrease bacteria on the skin • Recommended for repeated use
Excerpt only. Read the full label for complete information.
About NDC 21749-113
- What is NDC 21749-113?
- 21749-113 is the product NDC for PURELL HEALTHY SP BAK E2 Antimicrobial Foam Sp, Benzalkonium chloride .0013 mg/mL liquid, listed with the FDA by GOJO Industries, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- PURELL HEALTHY SP BAK E2 Antimicrobial Foam Sp (Benzalkonium Chloride).
- What is the active ingredient?
- Benzalkonium chloride.
- Who is the labeler?
- GOJO Industries, Inc., NDC labeler code 21749. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for PURELL HEALTHY SP BAK E2 Antimicrobial Foam Sp?
- 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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