Medicated Wipes Patch
NDC Package 41250-988-96

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

Medicated Wipes (witch hazel) patches is as hemorrhoidal treatment for adults:when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.gently dry by patting or blotting with toilet tissue or soft cloth before applying.gently apply to the affected area by patting and then discard.can be used up to six times daily or after each bowel movement.Children under 12 years of ageconsult a doctor. This formulation utilizes a patch delivery system. Marketed by Meijer Distribution Inc., this product is identified by NDC 41250-988 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
41250-988-96
Package Description
96 PATCH in 1 BAG / 500 mg in 1 PATCH
Product Code
41250-988
11-Digit Billing Format
41250098896
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Medicated Wipes
Non-Proprietary Name
Witch Hazel
Substance Name
Witch Hazel
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
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)
WITCH HAZEL 500 mg/1000mg
Usage Information
As hemorrhoidal treatment for adults:when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.gently dry by patting or blotting with toilet tissue or soft cloth before applying.gently apply to the affected area by patting and then discard.can be used up to six times daily or after each bowel movement.Children under 12 years of ageconsult a doctor.

Regulatory & Marketing

Labeler Name
Meijer Distribution Inc.
Product Type
Human Otc Drug
FDA Application #
M015
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-28-2018
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 (41250-988). Click a package code to view its specific billing and regulatory data.

41250-988-48
48 PATCH in 1 BOX / 500 mg in 1 PATCH

* 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 41250-988-96 identifies a specific commercial package of 96 patch in 1 bag / 500 mg in 1 patch of Medicated Wipes, a human over the counter drug labeled by Meijer Distribution Inc.. This patch is formulated for topical use and contains witch hazel 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 Meijer Distribution Inc. on June 28, 2018. The current certification is valid through December 31, 2026.

How is this Meijer Distribution Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41250098896. 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)
41250-988-96
11-Digit CMS (5-4-2)
41250-0988-96

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