Over-the-counter drug · OTC MONOGRAPH DRUG
PROVON Foaming Antimicrobial Handwash with PCMX (Chloroxylenol) NDC 21749-541
Chloroxylenol .005 mg/mL · Liquid · Topical · GOJO Industries, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21749-541-89 | 2174905418921749054189 | 1200 mL in 1 BOTTLE (21749-541-89)Marketed from Mar 1, 2013 | |
| 21749-541-90 | 2174905419021749054190 | 1250 mL in 1 BOTTLE (21749-541-90)Marketed from Mar 1, 2013 | |
| 21749-541-97 | 2174905419721749054197 | 700 mL in 1 BOTTLE (21749-541-97)Marketed from Mar 1, 2013 |
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)
- PROVON Foaming Antimicrobial Handwash with PCMX
- Generic name (nonproprietary)
- chloroxylenol
- Active ingredients
- Chloroxylenol — .005 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 21749-541_28518046-039a-51cd-e063-6394a90a7ad6SPL ID 28518046-039a-51cd-e063-6394a90a7ad6SPL set ID 4deb836b-12eb-4e16-8b4f-5b2d9afefc06RxCUI 436367UNII 0F32U78V2Q
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
N421749054189followed by a unit qualifier and the quantityPackage 21749-0541-89. 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)
Use Handwash to help decrease bacteria on the skin Recommended for repeated use
Excerpt only. Read the full label for complete information.
About NDC 21749-541
- What is NDC 21749-541?
- 21749-541 is the product NDC for PROVON Foaming Antimicrobial Handwash with PCMX, Chloroxylenol .005 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?
- PROVON Foaming Antimicrobial Handwash with PCMX (Chloroxylenol).
- What is the active ingredient?
- Chloroxylenol.
- 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 PROVON Foaming Antimicrobial Handwash with PCMX?
- 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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