Medichoice Ob Cleansing Cloth
NDC Package 39892-0306-1

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

Package Information

Medichoice Ob Cleansing (benzalkonium chloride) cloths is clean the affected area 1 to 3 times daily or as directed by a doctor. This formulation utilizes a cloth delivery system. Marketed by O&m Halyard, Inc., this product is identified by NDC 39892-0306 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
39892-0306-1
Package Description
10 BOX in 1 CASE / 100 PACKET in 1 BOX / 1 PATCH in 1 PACKET / .75 g in 1 PATCH
Product Code
39892-0306
11-Digit Billing Format
39892030601
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Medichoice Ob Cleansing
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
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)
BENZALKONIUM CHLORIDE .13 g/100g
Usage Information
Clean the affected area 1 to 3 times daily or as directed by a doctor. May be covered with a sterile bandage when dry.

Regulatory & Marketing

Labeler Name
O&m Halyard, Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-29-2017
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 39892-0306-1 identifies a specific commercial package of 10 box in 1 case / 100 packet in 1 box / 1 patch in 1 packet / .75 g in 1 patch of Medichoice Ob Cleansing, a human over the counter drug labeled by O&m Halyard, Inc.. This cloth 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 O&m Halyard, Inc. on August 29, 2017. The current certification is valid through December 31, 2027.

How is this O&m Halyard, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 39892030601. 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)
39892-0306-1
11-Digit CMS (5-4-2)
39892-0306-01

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