Over-the-counter drug · OTC MONOGRAPH DRUG
Pacific Blue Ultra (Benzalkonium chloride) NDC 54622-572
Benzalkonium chloride 1.3 mg/mL · Soap · Topical · Georgia-Pacific Consumer Products LP
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 54622-572-01 | 5462205720154622057201 | 1200 mL in 1 BOTTLE, DISPENSING (54622-572-01)Marketed from May 25, 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)
- Pacific Blue Ultra
- Generic name (nonproprietary)
- benzalkonium chloride
- Active ingredients
- Benzalkonium chloride — 1.3 mg/mL
- Dosage form
- Soap
- 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 54622-572_4a0379e2-98d8-b4e8-e063-6294a90a36bbSPL ID 4a0379e2-98d8-b4e8-e063-6294a90a36bbSPL set ID 7ea3f69f-e150-4beb-af1e-04ffc5a3b795RxCUI 1046593UNII F5UM2KM3W7
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
N454622057201followed by a unit qualifier and the quantityPackage 54622-0572-01. 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 Handwash to help reduce bacteria that potentially can cause disease.
Excerpt only. Read the full label for complete information.
About NDC 54622-572
- What is NDC 54622-572?
- 54622-572 is the product NDC for Pacific Blue Ultra (benzalkonium chloride), Benzalkonium chloride 1.3 mg/mL soap, 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 (Benzalkonium Chloride).
- What is the active ingredient?
- Benzalkonium chloride.
- 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?
- 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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