NDC codes

FDA NDC Directory
Product NDC (as listed)54365-401Labeler and product segments. Claims need a package NDC.
Product NDC at billing width54365-0401Add 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
54365-401-285436504012848 POUCH in 1 CARTON (54365-401-28) / 1 APPLICATOR in 1 POUCH / 1.75 mL in 1 APPLICATORMarketed from May 13, 2024
54365-401-295436504012940 POUCH in 1 CARTON (54365-401-29) / 3 APPLICATOR in 1 POUCH / 5.25 mL in 1 APPLICATORMarketed from May 13, 2024

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)
ChloraPrep Swabstick
Generic name (nonproprietary)
chlorhexidine gluconate and isopropyl alcohol
Active ingredients
Chlorhexidine gluconate — 20 mg/mLIsopropyl alcohol — .7 mL/mL
Dosage form
Solution
Route
Topical
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 021555
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 54365-401_41609458-1100-f069-e063-6294a90a6573SPL ID 41609458-1100-f069-e063-6294a90a6573SPL set ID 1666069b-38f6-bfde-e063-6394a90ad1b8RxCUI 1918214UNII MOR84MUD8E, ND2M416302

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

N454365040128 followed by a unit qualifier and the quantity

Package 54365-0401-28. 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 for the preparation of the patient's skin prior to surgery. Helps to reduce bacteria that potentially can cause skin infection.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021555

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

FDA NDC Directory listings under NDA 021555
ProductStrengthForm · routeLabelerProduct NDC
ChloraPrep One-Stepchlorhexidine gluconate and isopropyl alcoholChlorhexidine gluconate 20 mg/mL; Isopropyl alcohol .7 mL/mLSolutionTopicalCareFusion 213 LLC54365-400
ChloraprepIsopropyl alcohol .7 mL/mL; Chlorhexidine gluconate 20 mg/mLSolutionTopicalHF Acquisition Co LLC, DBA HealthFirst51662-1675

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