NDC codes

FDA NDC Directory
Product NDC (as listed)77617-009Labeler and product segments. Claims need a package NDC.
Product NDC at billing width77617-0009Add 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
77617-009-0277617000902776170009021 BOTTLE, PLASTIC in 1 BOX (77617-009-02) / 3.80564 kg in 1 BOTTLE, PLASTIC (77617-009-01)Marketed from Sep 17, 2018
77617-009-0477617000904776170009041 BOTTLE, PLASTIC in 1 BOX (77617-009-04) / 1.01 kg in 1 BOTTLE, PLASTIC (77617-009-03)Marketed from Sep 17, 2018

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)
Fresh 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
Listing expires
Identifiers
Product ID 77617-009_fe2dba8a-6bee-4124-b0b4-fedd03d011d2SPL ID fe2dba8a-6bee-4124-b0b4-fedd03d011d2SPL set ID e174083a-8820-4fa7-8cc2-0a2c86f27cd6UNII F5UM2KM3W7UPC 0765294182510

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

N477617000902 followed by a unit qualifier and the quantity

Package 77617-0009-02. 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)

About NDC 77617-009

What is NDC 77617-009?
77617-009 is the product NDC for Fresh Hands (benzalkonium chloride), Benzalkonium chloride 13 kg/100kg liquid, listed with the FDA by Maintex. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Fresh 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 Fresh 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
ProductStrengthForm · routeLabelerProduct NDC
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
CETAFEN COUGH and COLDacetaminophen, dextromethorphan hbr, phenylephrine hcl , guaifenesin, ,Guaifenesin 100 mg/1 + 3 more ingredientsTablet, Film coatedOralHART Health50332-0141
Therastatcherry cough dropsMenthol 5.8 mg/1LozengeOralHART Health50332-0137
AspirinAspirin 325 mg/1TabletOralHART Health50332-0139
MG DermaSanBenzalkonium chloride .1 g/100gLiquidTopicalMorgan Gallacher Inc.50241-259
HistaprindiphenhydramineDiphenhydramine hydrochloride 25 mg/1TabletOralNorMed50332-0150
MG DermaCleanBenzalkonium chloride .13 g/100gLiquidTopicalMorgan Gallacher Inc.50241-014
Hy-G-Clenzbenzalkonium chlorideBenzalkonium chloride 13 kg/100kgLiquidTopicalMicronova Manufacturing, Inc.59764-004
MG FoamSan 70ethyl alcoholAlcohol .7 L/LLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-223
CetafenacetaminophenAcetaminophen 325 mg/1TabletOralHART Health50332-0148
Hand Sanitizer Solution 101benzalkonium chlorideBenzalkonium chloride 13 kg/100kgLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-224
Cetafen ExtraacetaminophenAcetaminophen 500 mg/1TabletOralHART Health50332-0149
MG DermaGel 62ethyl alcoholAlcohol .62 L/LLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-326
MG DermaWashbenzalkonium chlorideBenzalkonium chloride 13 kg/100kgLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-302
Nutraloxcalcium carbonateCalcium carbonate 420 mg/1Tablet, ChewableOralHART Health50332-0151
Antibacterial Liquid Handbenzalkonium chlorideBenzalkonium chloride 13 kg/100kgLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-317
IbuprofenIbuprofen 200 mg/1TabletOralHART Health50332-0152
Relief-PEacetaminophen, phenylephrine, chlorpheniramineAcetaminophen 325 mg/1 + 2 more ingredientsTablet, CoatedOralHART Health50332-0153
MG DermaGel 70ethyl alcoholAlcohol .7 L/LLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-465

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