Amoray Premium Instant Hand Sanitizer With Aloe And Vitamin E
NDC Package 40104-421-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Amoray Premium Instant Hand Sanitizer With Aloe And Vitamin E is keep out of eyeswhen water, soap and towel are not available. Marketed by Ningbo Pulisi Daily Chemical Products Co., Ltd., this product is identified by NDC 40104-421 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
40104-421-01
Package Description
237 mL in 1 BOTTLE
Product Code
40104-421
11-Digit Billing Format
40104042101
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Amoray Premium Instant Hand Sanitizer With Aloe And Vitamin E Lavender
Dosage Form
-
Usage Information
Keep out of eyeswhen water, soap and towel are not available

Regulatory & Marketing

Labeler Name
Ningbo Pulisi Daily Chemical Products Co., Ltd.
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
12-16-2015
Listing Expiration
12-31-2019
Exclude Flag
I
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 40104-421-01 identifies a specific commercial package of 237 ml in 1 bottle of Amoray Premium Instant Hand Sanitizer With Aloe And Vitamin E Lavender, labeled by Ningbo Pulisi Daily Chemical Products Co., Ltd.. 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 Ningbo Pulisi Daily Chemical Products Co., Ltd. on December 16, 2015. The current certification is valid through December 31, 2019.

How is this Ningbo Pulisi Daily Chemical Products Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 40104042101. 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)
40104-421-01
11-Digit CMS (5-4-2)
40104-0421-01

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