Over-the-counter drug · OTC MONOGRAPH DRUG
PRIME SOURCE SELECT Plum Antibacterial Foam Hand So ap (Benzalkonium chloride) NDC 66294-402
Benzalkonium chloride .005 mg/mL · Liquid · Topical · BUNZL
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 66294-402-40 | 6629404024066294040240 | 1200 mL in 1 PACKAGE (66294-402-40)Marketed from Nov 30, 2017 |
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)
- PRIME SOURCE SELECT Plum Antibacterial Foam Hand So ap
- Generic name (nonproprietary)
- benzalkonium chloride
- Active ingredients
- Benzalkonium chloride — .005 mg/mL
- Dosage form
- Liquid
- Route
- Topical
- Labeler
- BUNZLNDC labeler code 66294
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication 505G(a)(3)
- Marketing start
- Listing expires
- Identifiers
- Product ID 66294-402_29a0de93-f4df-335e-e063-6394a90a1aeeSPL ID 29a0de93-f4df-335e-e063-6394a90a1aeeSPL set ID d56dbf55-9630-4d00-9dc5-68e55f48e793UNII 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
N466294040240followed by a unit qualifier and the quantityPackage 66294-0402-40. 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 decrease bacteria on the skin • Recommended for repeated use
Excerpt only. Read the full label for complete information.
About NDC 66294-402
- What is NDC 66294-402?
- 66294-402 is the product NDC for PRIME SOURCE SELECT Plum Antibacterial Foam Hand So ap, Benzalkonium chloride .005 mg/mL liquid, listed with the FDA by BUNZL. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- PRIME SOURCE SELECT Plum Antibacterial Foam Hand So ap (Benzalkonium Chloride).
- What is the active ingredient?
- Benzalkonium chloride.
- Who is the labeler?
- BUNZL, NDC labeler code 66294. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for PRIME SOURCE SELECT Plum Antibacterial Foam Hand So ap?
- 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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