Thesafetydirector Aquapreserv
NDC Package 42961-159-01

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.

Thesafetydirector Aquapreserv is •concentrate must be diluted•wear protective eyewear, and gloves•clean portable self-contained station•rinse with potable water•partially fill station (approximately 2-3 gallons) with potable water•add entire contents of this bottle•agitate or mix thoroughly•fill station to mark•date station’s inspection tag•change station solution at least every 120-180 days, or when eyewash station is use•use good judgment based upon the station’s environmental exposure to determine when scheduled solution changes should occur•in advance of an emergency. Marketed by Cintas Corporation, this product is identified by NDC 42961-159 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
42961-159-01
Package Description
947 mL in 1 BOTTLE, PLASTIC
Product Code
42961-159
11-Digit Billing Format
42961015901

Clinical Specifications

Proprietary Name
Thesafetydirector Aquapreserv
Dosage Form
-
Usage Information
•concentrate must be diluted•wear protective eyewear, and gloves•clean portable self-contained station•rinse with potable water•partially fill station (approximately 2-3 gallons) with potable water•add entire contents of this bottle•agitate or mix thoroughly•fill station to mark•date station’s inspection tag•change station solution at least every 120-180 days, or when eyewash station is use•use good judgment based upon the station’s environmental exposure to determine when scheduled solution changes should occur•in advance of an emergency

Regulatory & Marketing

Labeler Name
Cintas Corporation
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-15-2014
Listing Expiration
12-31-2017
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 42961-159-01 identifies a specific commercial package of 947 ml in 1 bottle, plastic of Thesafetydirector Aquapreserv, labeled by Cintas Corporation. 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 Cintas Corporation on July 15, 2014. The current certification is valid through December 31, 2017.

How is this Cintas Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 42961015901. 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)
42961-159-01
11-Digit CMS (5-4-2)
42961-0159-01

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