Sani Foam Mango Antiseptic Hand And Body Wash Soap
NDC Package 43374-876-13

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

Sani Foam Mango Antiseptic Hand And Body Wash (chloroxylenol) soaps is for hand-washing to decrease bacteria on the skin. This formulation utilizes a soap delivery system. Marketed by Delta Foremost Chemical Corporation, this product is identified by NDC 43374-876 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
43374-876-13
Package Description
800 mL in 1 BAG
Product Code
43374-876
11-Digit Billing Format
43374087613
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Sani Foam Mango Antiseptic Hand And Body Wash
Non-Proprietary Name
Chloroxylenol
Substance Name
Chloroxylenol
Dosage Form
Soap - Any compound of one or more fatty acids, or their equivalents, with an alkali; soap is detergent and is much employed in liniments, enemas, and in making pills. It is also a mild aperient, antacid and antiseptic.
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)
CHLOROXYLENOL 3 mg/mL
Usage Information
For hand-washing to decrease bacteria on the skin

Regulatory & Marketing

Labeler Name
Delta Foremost Chemical Corporation
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-21-2018
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (43374-876). Click a package code to view its specific billing and regulatory data.

43374-876-10
1000 mL in 1 CARTRIDGE
43374-876-11
1000 mL in 1 BOTTLE, PLASTIC
43374-876-12
1000 mL in 1 BAG
43374-876-14
3785 mL in 1 BOTTLE, PLASTIC
43374-876-27
800 mL in 1 CARTRIDGE

* 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 43374-876-13 identifies a specific commercial package of 800 ml in 1 bag of Sani Foam Mango Antiseptic Hand And Body Wash, a human over the counter drug labeled by Delta Foremost Chemical Corporation. This soap is formulated for topical use and contains chloroxylenol 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 Delta Foremost Chemical Corporation on June 21, 2018. The current certification is valid through December 31, 2027.

How is this Delta Foremost Chemical Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 43374087613. 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)
43374-876-13
11-Digit CMS (5-4-2)
43374-0876-13

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