Scrub, Scrub-stat, Foam Safe, Micro-guard Solution
NDC Package 42939-124-13

11-digit billing NDC: 42939012413
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Scrub, Scrub-stat, Foam Safe, Micro-guard (chlorhexidine gluconate) solution is use with care in premature infants or infants under 2 months of age. This formulation utilizes a solution delivery system. Marketed by Ava, Inc., this product is identified by NDC 42939-124 and is authorized under FDA application NDA019258.

Identification & Billing

NDC Package Code
42939-124-13
Package Description
30 mL in 1 BOTTLE
Product Code
42939-124
11-Digit Billing Format
42939012413
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Scrub, Scrub-stat, Foam Safe, Micro-guard
Non-Proprietary Name
Chlorhexidine Gluconate
Substance Name
Chlorhexidine Gluconate
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
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.
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
  • 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)
Pharmacologic Class
Usage Information
Use with care in premature infants or infants under 2 months of age. These product may cause irritation or chemical burns.use full strengthdo not diluteSurgical hand scrubremove jewelrywet hands and forearms with water and apply 5 mL of the productwash/scrub hands and forearms for 3 minutes paying particular attention to the nails, cuticles, and interdigital spacesrinse thoroughly with waterwashfor an additional 3 minutes with 5 mL of the product and rinse under running waterdry thoroughlyHealthcare personnel handwashwet hands with waterdispense about 5 mL of product into cupped hands and wash in a vigorous manner for 30 secondsrinse and dry thoroughlySkin wound and general skin cleanserthoroughly rinse the area to be cleansed with waterapply the minimum amount of product necessary to cover the skin or wound area and wash gently. Rinse thoroughly with water.rinse again thoroughly

Regulatory & Marketing

Labeler Name
Ava, Inc.
Product Type
Human Otc Drug
FDA Application #
NDA019258
Marketing Category
NDA - A product marketed under an approved New Drug Application.
Start Marketing Date
07-22-1986
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 (42939-124). Click a package code to view its specific billing and regulatory data.

42939-124-01
118 mL in 1 BOTTLE, PLASTIC
42939-124-02
540 mL in 1 BOTTLE, PLASTIC
42939-124-03
750 mL in 1 BOTTLE, PUMP
42939-124-04
750 mL in 1 BOTTLE, PLASTIC
42939-124-05
800 mL in 1 BOTTLE, PLASTIC
42939-124-06
946 mL in 1 BOTTLE
42939-124-07
946 mL in 1 BOTTLE
42939-124-08
1000 mL in 1 BOTTLE, PLASTIC
42939-124-09
1000 mL in 1 POUCH
42939-124-10
1250 mL in 1 BOTTLE
42939-124-11
1250 mL in 1 BOTTLE, PUMP
42939-124-12
3785 mL in 1 BOTTLE, PLASTIC
42939-124-14
59 mL in 1 BOTTLE
42939-124-15
118 mL in 1 BOTTLE
42939-124-16
236 mL in 1 BOTTLE
42939-124-17
236 mL in 1 BOTTLE
42939-124-18
473 mL in 1 BOTTLE
42939-124-19
946 mL in 1 BOTTLE
42939-124-20
59 mL in 1 BOTTLE
42939-124-21
118 mL in 1 BOTTLE
42939-124-22
236 mL in 1 BOTTLE
42939-124-23
1000 mL in 1 BOTTLE
42939-124-24
208000 mL in 1 DRUM
42939-124-25
1134000 mL in 1 CONTAINER

* 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 42939-124-13 identifies a specific commercial package of 30 ml in 1 bottle of Scrub, Scrub-stat, Foam Safe, Micro-guard, a human over the counter drug labeled by Ava, Inc.. This solution is formulated for topical use and contains chlorhexidine gluconate 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 Ava, Inc. on July 22, 1986. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42939012413. 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)
42939-124-13
11-Digit CMS (5-4-2)
42939-0124-13

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