Purell Hand Sanitizing Wipes Alcohol Formula Cloth
NDC Package 21749-367-94

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

Purell Hand Sanitizing Wipes Alcohol Formula (alcohol) cloths is • Wet hands thoroughly with product and allow to dry • Children under 6 years of age should be supervised when using PURELL® products. This formulation utilizes a cloth delivery system. Marketed by Gojo Industries, Inc., this product is identified by NDC 21749-367 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
21749-367-94
Package Description
135 PACKAGE in 1 PACKAGE / 370 mL in 1 PACKAGE
Product Code
21749-367
11-Digit Billing Format
21749036794
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Purell Hand Sanitizing Wipes Alcohol Formula
Non-Proprietary Name
Alcohol
Substance Name
Alcohol
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
ALCOHOL 62 mL/100mL
Usage Information
• Wet hands thoroughly with product and allow to dry • Children under 6 years of age should be supervised when using PURELL® products

Regulatory & Marketing

Labeler Name
Gojo Industries, Inc.
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-24-2012
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (21749-367). Click a package code to view its specific billing and regulatory data.

21749-367-24
24 PACKAGE in 1 PACKAGE / 66 mL in 1 PACKAGE
21749-367-36
36 PACKAGE in 1 PACKAGE / 101 mL in 1 PACKAGE
21749-367-63
80 CANISTER in 1 PACKAGE / 219 mL in 1 CANISTER
21749-367-68
175 CANISTER in 1 PACKAGE / 479 mL in 1 CANISTER
21749-367-76
1 POUCH in 1 PACKAGE / 1.97 mL in 1 POUCH

* 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 21749-367-94 identifies a specific commercial package of 135 package in 1 package / 370 ml in 1 package of Purell Hand Sanitizing Wipes Alcohol Formula, a human over the counter drug labeled by Gojo Industries, Inc.. This cloth is formulated for topical use and contains alcohol 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 Gojo Industries, Inc. on February 24, 2012. The current certification is valid through December 31, 2026.

How is this Gojo Industries, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 21749036794. 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 (5-3-2)
21749-367-94
11-Digit CMS (5-4-2)
21749-0367-94

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