Over-the-counter drug · NDA
Provon Antimicrobial Foam Handwash (Chlorhexidine gluconate 2%) NDC 21749-850
Chlorhexidine gluconate 20 mg/mL · Solution · Topical · Gojo Industries, Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21749-850-89 | 2174908508921749085089 | 1200 mL in 1 BOTTLE, DISPENSING (21749-850-89)Marketed from Jul 1, 2016 | |
| 21749-850-90 | 2174908509021749085090 | 1250 mL in 1 BOTTLE, DISPENSING (21749-850-90)Marketed from Jul 1, 2016 |
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 Antimicrobial Foam Handwash
- Generic name (nonproprietary)
- chlorhexidine gluconate 2%
- Active ingredients
- Chlorhexidine gluconate — 20 mg/mL
- Dosage form
- Solution
- Route
- Topical
- Labeler
- Gojo Industries, Inc.NDC labeler code 21749
- 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 21749-850_8bb397f5-88ef-349d-e053-2995a90ab3faSPL ID 8bb397f5-88ef-349d-e053-2995a90ab3faSPL set ID 36803a5b-3075-5d5b-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
N421749085089followed by a unit qualifier and the quantityPackage 21749-0850-89. 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.
About NDC 21749-850
- What is NDC 21749-850?
- 21749-850 is the product NDC for Provon Antimicrobial Foam Handwash, Chlorhexidine gluconate 20 mg/mL solution, listed with the FDA by Gojo Industries, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Provon Antimicrobial Foam Handwash (Chlorhexidine Gluconate 2%).
- What is the active ingredient?
- Chlorhexidine gluconate.
- 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 Antimicrobial Foam Handwash?
- 1 other product NDC are listed under this name. See all Provon Antimicrobial Foam Handwash NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Provon Antimicrobial Foam Handwash products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-8500 | 00116-8500-8900116-8500-90 |
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 Foam Handwashchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-416 |
| Antimicrobial Skin Cleanserchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | Gojo Industries, Inc. | 21749-106 |
| Antiseptic Foam Handwashchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-461 |
| Bactoshield CHGchlorhexidine gluconate 2% | Chlorhexidine gluconate 2 mg/100mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-0038 |
| Bactoshield CHG Chlorhexidine Gluconatechlorhexidine gluconate | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | SC Johnson Professional USA, Inc. | 11084-038 |
| 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 |
| foaming hand washchlorhexidine gluconate | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | Medline Industries, LP | 53329-994 |
| Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2% | Chlorhexidine gluconate 20 mg/mL | SolutionTopical | Xttrium Laboratories, Inc. | 0116-8500 |
| Purell Antimicrobial Foamchlorhexidine gluconate 2% solution | Chlorhexidine gluconate 20 mg/mL | LiquidTopical | GOJO Industries, Inc. | 21749-225 |