Tork Hand Sanitizer Alcohol Free Foam Liquid
NDC Package 49351-103-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Tork Hand Sanitizer Alcohol Free Foam (benzalkonium chloride) liquids is dispense enough to spread on both hands to wrists, then rub into the skin for at least 30 seconds.  Allow to dry. This formulation utilizes a liquid delivery system. Marketed by Essity Professional Hygiene North America Llc, this product is identified by NDC 49351-103 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
49351-103-01
Package Description
6 BOTTLE in 1 BOX / 1000 mL in 1 BOTTLE
Product Code
49351-103
11-Digit Billing Format
49351010301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Tork Hand Sanitizer Alcohol Free Foam
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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)
BENZALKONIUM CHLORIDE .13 g/100mL
Usage Information
Dispense enough to spread on both hands to wrists, then rub into the skin for at least 30 seconds.  Allow to dry.

Regulatory & Marketing

Labeler Name
Essity Professional Hygiene North America Llc
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-12-2014
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 49351-103-01 identifies a specific commercial package of 6 bottle in 1 box / 1000 ml in 1 bottle of Tork Hand Sanitizer Alcohol Free Foam, a human over the counter drug labeled by Essity Professional Hygiene North America Llc. This liquid is formulated for topical use and contains benzalkonium chloride 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 Essity Professional Hygiene North America Llc on August 12, 2014. The current certification is valid through December 31, 2026.

How is this Essity Professional Hygiene North America Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49351010301. 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)
49351-103-01
11-Digit CMS (5-4-2)
49351-0103-01

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