Over-the-counter drug · OTC MONOGRAPH DRUG
Pacific Blue Ultra Foaming Fragrance Free (Ethyl alcohol) NDC 54622-122
Alcohol 70 mg/mL · Solution · Topical · Georgia-Pacific Consumer Products LP
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 54622-122-01 | 5462201220154622012201 | 1000 mL in 1 BOTTLE, DISPENSING (54622-122-01)Marketed from Jun 11, 2021 |
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)
- Pacific Blue Ultra Foaming Fragrance FreeSuffix: Fragrance Free
- Generic name (nonproprietary)
- ethyl alcohol
- Active ingredients
- Alcohol — 70 mg/mL
- Dosage form
- Solution
- Route
- Topical
- Labeler
- Georgia-Pacific Consumer Products LPNDC labeler code 54622
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 505G(a)(3)
- Marketing start
- Listing expires
- Identifiers
- Product ID 54622-122_2c631dee-f120-58af-e063-6394a90ac821SPL ID 2c631dee-f120-58af-e063-6394a90ac821SPL set ID c4840ac2-978c-3aac-e053-2995a90ad312RxCUI 616805UNII 3K9958V90M
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
N454622012201followed by a unit qualifier and the quantityPackage 54622-0122-01. 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 To decrease bacteria on skin that could cause disease Recommended for repeated use
Excerpt only. Read the full label for complete information.
About NDC 54622-122
- What is NDC 54622-122?
- 54622-122 is the product NDC for Pacific Blue Ultra Foaming Fragrance Free, Alcohol 70 mg/mL solution, listed with the FDA by Georgia-Pacific Consumer Products LP. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Pacific Blue Ultra Foaming Fragrance Free (Ethyl Alcohol).
- What is the active ingredient?
- Alcohol.
- Who is the labeler?
- Georgia-Pacific Consumer Products LP, NDC labeler code 54622. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Pacific Blue Ultra Foaming Fragrance Free?
- 1 other product NDC are listed under this name. See all Pacific Blue Ultra Foaming Fragrance Free NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Pacific Blue Ultra Foaming Fragrance Free products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Pacific Blue Ultra Foaming Fragrance Freeethyl alcohol | Alcohol 70 mg/mL | SolutionTopical | Georgia-Pacific Consumer Products LP | 54622-701 | 54622-0701-01 |
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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