Hydrogen Peroxide Solution
NDC Package 49035-871-45

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

Hydrogen Peroxide solution is for First aid:clean the affected areaspray a small amount of product on the affected area 1 to 3 times a daymay be covered with a sterile bandageif bandaged, let dry firstOral debriding agent: adults, children over 2 years of age:mix with an equal amount of waterswish around in the mouth over the affected area for at least 1 minute, then spit outuse up to 4 times daily after meals and at bedtimechildren under 12 years of age should be supervised in the usechildren 2 years of age: consult a dentist, doctor. This formulation utilizes a solution delivery system. Marketed by Walmart Inc., this product is identified by NDC 49035-871 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
49035-871-45
Package Description
946 mL in 1 BOTTLE, PLASTIC
Product Code
49035-871
11-Digit Billing Format
49035087145
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
946 ML
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Hydrogen Peroxide
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
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.
Active Ingredient(s)
HYDROGEN PEROXIDE 30 mg/mL
Usage Information
For First aid:clean the affected areaspray a small amount of product on the affected area 1 to 3 times a daymay be covered with a sterile bandageif bandaged, let dry firstOral debriding agent: adults, children over 2 years of age:mix with an equal amount of waterswish around in the mouth over the affected area for at least 1 minute, then spit outuse up to 4 times daily after meals and at bedtimechildren under 12 years of age should be supervised in the usechildren 2 years of age: consult a dentist, doctor

Regulatory & Marketing

Labeler Name
Walmart Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-09-2017
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 (49035-871). Click a package code to view its specific billing and regulatory data.

49035-871-43
473 mL in 1 BOTTLE, PLASTIC
49035-871-99
236 mL in 1 BOTTLE, SPRAY

* 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 49035-871-45 identifies a specific commercial package of 946 ml in 1 bottle, plastic of Hydrogen Peroxide, a human over the counter drug labeled by Walmart Inc.. This product is billed per "ML" milliliter and contains an estimated amount of 946 billable units per package. This solution is formulated for topical use and contains hydrogen peroxide 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 Walmart Inc. on July 09, 2017. The current certification is valid through December 31, 2027.

How is this Walmart Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49035087145. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 946 total billable units per package. 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)
49035-871-45
11-Digit CMS (5-4-2)
49035-0871-45

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