Hydrogen Peroxide
NDC Package 11822-0871-4

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Hydrogen Peroxide is first aid antiseptic:•clean the affected area•apply a small amount of product on the affected area 1 to 3 times a day•may be covered with a sterile bandage•if bandaged, let dry firstOral debriding agent (oral rinse): adults and children 2 years of age and over:• mix with an equal amount of water• swish around in the mouth over the affected area for at least 1 minute and then spit out• use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor. Marketed by Rite Aid Corporation, this product is identified by NDC 11822-0871 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
11822-0871-4
Package Description
.473 L in 1 BOTTLE, PLASTIC
Product Code
11822-0871
11-Digit Billing Format
11822087104

Clinical Specifications

Proprietary Name
Hydrogen Peroxide
Dosage Form
-
Usage Information
First aid antiseptic:•clean the affected area•apply a small amount of product on the affected area 1 to 3 times a day•may be covered with a sterile bandage•if bandaged, let dry firstOral debriding agent (oral rinse): adults and children 2 years of age and over:• mix with an equal amount of water• swish around in the mouth over the affected area for at least 1 minute and then spit out• use up to 4 times daily after meals and at bedtime or as directed by a dentist or doctor

Regulatory & Marketing

Labeler Name
Rite Aid Corporation
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-11-1993
End Marketing Date
04-08-2026
Listing Expiration
04-08-2026
Exclude Flag
D
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (11822-0871). Click a package code to view its specific billing and regulatory data.

11822-0871-5
.71 L in 1 BOTTLE, PLASTIC
11822-0871-7
.295 L in 1 BOTTLE, SPRAY

* 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 11822-0871-4 identifies a specific commercial package of .473 l in 1 bottle, plastic of Hydrogen Peroxide, labeled by Rite Aid Corporation. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Rite Aid Corporation on January 11, 1993. The current certification is valid through April 08, 2026.

How is this Rite Aid Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822087104. 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)
11822-0871-4
11-Digit CMS (5-4-2)
11822-0871-04

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