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 NDC11-digit (billing)PackageCopy
77617-004-02776170004021 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 chloride13 kg/100kg
Dosage form
Liquid
Route
Topical
Labeler
Maintex
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M
Marketing start
Listing expires
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 .

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)

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
ProductStrengthForm · routeLabelerProduct NDC
SennaSennosides a and b 417.12 mg/237mLSyrupOralATLANTIC BIOLOGICALS CORP.17856-8237
Stimulant Laxative Plus Stool Softenerdocusate sodium 50 mg and sennosides 8.6 mgSennosides 8.6 mg/1; Docusate sodium 50 mg/1Tablet, Film coatedOralATLANTIC BIOLOGICALS CORP.17856-1248
Stomach Relief Regular Strengthbismuth subsalicylateBismuth subsalicylate 525 mg/30mLLiquidOralATLANTIC BIOLOGICALS CORP.17856-1286
Adult Low Dose AspirinaspirinAspirin 81 mg/1Tablet, Delayed releaseOralPharbest Pharmaceuticals, Inc.16103-356
Broncochem Expectorant IIacetaminophen-chlorpheniramine maleate-dextromethorphan hbr-guaifenesin-phenylephrine hclAcetaminophen 325 mg/10mL + 3 more ingredientsSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-011
Broncochem Maximum Cough Nightdextromethorphan hbr-pyrilamine maleateDextromethorphan hydrobromide 15 mg/5mL; Pyrilamine maleate 6 mg/5mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-035
Docusate Sodiumdocusate sodium 100mgDocusate sodium 100 mg/1CapsuleOralPharbest Pharmaceuticals, Inc.16103-399
Broncochem Cold And Flu Teaacetaminophen-phenylephrine hydrochloride-chlorpheniramine maleateAcetaminophen 500 mg/13g; Chlorpheniramine maleate 4 mg/13gGranule, For solutionOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-097
Broncochem Maximum Coughdextromethorphan hbr-gyaifenesinDextromethorphan hydrobromide 20 mg/10mL; Guaifenesin 400 mg/10mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-100
Broncochem Kids Cold And Fluacetaminophen-phenylephrine hcl-guaifenesinAcetaminophen 325 mg/10mL + 2 more ingredientsSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-109
Broncochem Maximum Cough Nightdextromethorphan hbr-pyrilamine maleateDextromethorphan hydrobromide 30 mg/5mL; Pyrilamine maleate 50 mg/5mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-110
Broncochem Maximum Cough Kidsdextromethorphan hbr-guaifenesinDextromethorphan hydrobromide 10 mg/15mL; Guaifenesin 100 mg/15mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-180
Hysan Huo Lu Medicatedmethyl salicylate, camphor (synthetic)Methyl salicylate 37 g/100mL; Camphor (Synthetic) 10 g/100mLOilTopicalHYSAN PHARMACEUTICAL CO LTD63255-122
Hysan Pain Relievermethyl salicylate, camphor (synthetic)Methyl salicylate 37 g/100mL; Camphor (Synthetic) 10 g/100mLOilTopicalHYSAN PHARMACEUTICAL CO LTD63255-111
Hysan Analgesicmethyl salicylate, camphor (synthetic)Methyl salicylate 22 g/100g; Camphor (Synthetic) 2 g/100gOintmentTopicalHYSAN PHARMACEUTICAL CO LTD63255-330
Hysan Hua Tuo Huo Lumethyl salicylate, camphor (synthetic)Methyl salicylate 37 g/100mL; Camphor (Synthetic) 10 g/100mLOilTopicalHYSAN PHARMACEUTICAL CO LTD63255-123
The Original Mane n Tail Daily Control 2 in 1 Anti Dandruffpyrithione zincPyrithione zinc .01 g/.01gShampooTopicalStraight Arrow Products Inc62001-0330
Hysan Hua Tuo Medicatedmethyl salicylateMethyl salicylate 1 g/1PlasterTopicalHYSAN PHARMACEUTICAL CO LTD63255-210
Orythia Pain Relieving LidocainelidocaineLidocaine 40 mg/gPatchTopicalPlanet (Anhui) Pharmaceutical Co., Ltd.75568-035
Mintox Maximum Strengthaluminum hydroxide, magnesium hydroxide, dimethiconeAluminum hydroxide 400 mg/5mL + 2 more ingredientsSuspensionOralATLANTIC BIOLOGICALS CORP.17856-5725

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