Mentholatum Moisturizing Hand Sanitizer Gel
NDC Package 10742-0004-1

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Mentholatum Moisturizing Hand Sanitizer (benzalkonium chloride) gel is •Liberally apply product in your palm to thoroughly cover your hands•Rub hands together briskly until absorbed.•Children under 6 years of age should be supervised when using this product. This formulation utilizes a gel delivery system. Marketed by The Mentholatum Company, this product is identified by NDC 10742-0004 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
10742-0004-1
Package Description
192 mL in 1 BOTTLE
Product Code
10742-0004
11-Digit Billing Format
10742000401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Mentholatum Moisturizing Hand Sanitizer
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
BENZALKONIUM CHLORIDE 1.3 mg/mL
Usage Information
•Liberally apply product in your palm to thoroughly cover your hands•Rub hands together briskly until absorbed.•Children under 6 years of age should be supervised when using this product.

Regulatory & Marketing

Labeler Name
The Mentholatum Company
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-12-2020
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 10742-0004-1 identifies a specific commercial package of 192 ml in 1 bottle of Mentholatum Moisturizing Hand Sanitizer, a human over the counter drug labeled by The Mentholatum Company. This gel is formulated for topical use and contains benzalkonium chloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by The Mentholatum Company on June 12, 2020. The current certification is valid through December 31, 2026.

How is this The Mentholatum Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 10742000401. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-4-1)
10742-0004-1
11-Digit CMS (5-4-2)
10742-0004-01

Note: The zero is added to the Package segment to maintain the 5-4-2 structure.