Simplify White Tea Lhs Liquid
NDC Package 11822-2000-1

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

Package Information

Simplify White Tea Lhs (benzalkonium chloride) liquids is wet Hands,Apply palmful to hands.Scrub thoroughly.rinse thoroughly. This formulation utilizes a liquid delivery system. Marketed by Rite Aid Corporation, this product is identified by NDC 11822-2000 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
11822-2000-1
Package Description
332 mL in 1 BOTTLE, PLASTIC
Product Code
11822-2000
11-Digit Billing Format
11822200001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Simplify White Tea Lhs
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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 130 mg/100mL
Usage Information
Wet Hands,Apply palmful to hands.Scrub thoroughly.rinse thoroughly.

Regulatory & Marketing

Labeler Name
Rite Aid Corporation
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-16-2025
Listing Expiration
12-31-2027
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 11822-2000-1 identifies a specific commercial package of 332 ml in 1 bottle, plastic of Simplify White Tea Lhs, a human over the counter drug labeled by Rite Aid Corporation. This liquid 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 Rite Aid Corporation on January 16, 2025. The current certification is valid through December 31, 2027.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822200001. 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)
11822-2000-1
11-Digit CMS (5-4-2)
11822-2000-01

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