What is NDC 77617-004?

77617-004 is the product NDC for Butler Clean Hands (benzalkonium chloride), Benzalkonium chloride 13 kg/100kg liquid, listed with the FDA by Maintex. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Butler Clean Hands (Benzalkonium Chloride).

Maintex, NDC labeler code 77617. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Butler Clean Hands?

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.

Butler Clean Hands NDC 77617-004 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)77617-004Labeler and product segments. Claims need a package NDC.

Product NDC at billing width77617-0004Add 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 NDC	11-digit (billing)	Package	Copy
77617-004-02	7761700040277617000402	1 BOTTLE, PLASTIC in 1 BOX (77617-004-02) / 3.8057 kg in 1 BOTTLE, PLASTIC (77617-004-01)Marketed from Jan 3, 2020

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): Butler Clean Hands
Generic name (nonproprietary): benzalkonium chloride
Active ingredients: Benzalkonium chloride — 13 kg/100kg
Dosage form: Liquid
Route: Topical
Labeler: MaintexNDC labeler code 77617
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M
Marketing start: Jan 3, 2020
Listing expires: Dec 31, 2026
Identifiers: Product ID 77617-004_5bd80309-cf07-4d99-a65d-54c9b9785339SPL ID 5bd80309-cf07-4d99-a65d-54c9b9785339SPL set ID 3fd526a8-d197-4a12-b51b-165e706720a7UNII 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

N477617000402 followed by a unit qualifier and the quantity

Package 77617-0004-02. 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 Nov 6, 2025.

Indications (excerpt from the label)

Uses For hand washing to decrease bacteria on the skin.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 77617-004

What is NDC 77617-004?: 77617-004 is the product NDC for Butler Clean Hands (benzalkonium chloride), Benzalkonium chloride 13 kg/100kg liquid, listed with the FDA by Maintex. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Butler Clean Hands (Benzalkonium Chloride).
What is the active ingredient?: Benzalkonium chloride.
Who is the labeler?: Maintex, NDC labeler code 77617. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Butler Clean Hands?: 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 M

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

FDA NDC Directory listings under M
Product	Strength	Form · route	Labeler	Product NDC
Broncochem Cold And Flu Teaacetaminophen-phenylephrine hydrochloride-chlorpheniramine maleate	Acetaminophen 500 mg/13g; Chlorpheniramine maleate 4 mg/13g	Granule, For solutionOral	LABORATORIO MAGNACHEM INTERNATIONAL SRL	65131-097
Broncochem Maximum Coughdextromethorphan hbr-gyaifenesin	Dextromethorphan hydrobromide 20 mg/10mL; Guaifenesin 400 mg/10mL	SyrupOral	LABORATORIO MAGNACHEM INTERNATIONAL SRL	65131-100
CETAFEN COUGH and COLDacetaminophen, dextromethorphan hbr, phenylephrine hcl , guaifenesin, ,	Guaifenesin 100 mg/1 + 3 more ingredients	Tablet, Film coatedOral	HART Health	50332-0141
Therastatcherry cough drops	Menthol 5.8 mg/1	LozengeOral	HART Health	50332-0137
Aspirin	Aspirin 325 mg/1	TabletOral	HART Health	50332-0139
MG DermaSan	Benzalkonium chloride .1 g/100g	LiquidTopical	Morgan Gallacher Inc.	50241-259
Histaprindiphenhydramine	Diphenhydramine hydrochloride 25 mg/1	TabletOral	NorMed	50332-0150
MG DermaClean	Benzalkonium chloride .13 g/100g	LiquidTopical	Morgan Gallacher Inc.	50241-014
Hy-G-Clenzbenzalkonium chloride	Benzalkonium chloride 13 kg/100kg	LiquidTopical	Micronova Manufacturing, Inc.	59764-004
MG FoamSan 70ethyl alcohol	Alcohol .7 L/L	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-223
Cetafenacetaminophen	Acetaminophen 325 mg/1	TabletOral	HART Health	50332-0148
Hand Sanitizer Solution 101benzalkonium chloride	Benzalkonium chloride 13 kg/100kg	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-224
Cetafen Extraacetaminophen	Acetaminophen 500 mg/1	TabletOral	HART Health	50332-0149
MG DermaGel 62ethyl alcohol	Alcohol .62 L/L	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-326
MG DermaWashbenzalkonium chloride	Benzalkonium chloride 13 kg/100kg	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-302
Nutraloxcalcium carbonate	Calcium carbonate 420 mg/1	Tablet, ChewableOral	HART Health	50332-0151
Antibacterial Liquid Handbenzalkonium chloride	Benzalkonium chloride 13 kg/100kg	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-317
Ibuprofen	Ibuprofen 200 mg/1	TabletOral	HART Health	50332-0152
Relief-PEacetaminophen, phenylephrine, chlorpheniramine	Acetaminophen 325 mg/1 + 2 more ingredients	Tablet, CoatedOral	HART Health	50332-0153
MG DermaGel 70ethyl alcohol	Alcohol .7 L/L	LiquidTopical	Morgan Gallacher Inc. DBA Custom Chemical Formulators Inc.	50241-465

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Butler Clean Hands (Benzalkonium chloride) NDC 77617-004