Large Ansi First Aid Kit
NDC Package 49687-0021-0

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

Package Information

Large Ansi First Aid Kit (water, benzalkonium chloride, isopropyl alcohol, bacitracin zinc, neomycin sulfate, polymyxin b sulfate, lidocaine hydrochloride) kits is • Flush the affected eye as needed, controlling the rate of flow of solution by pressure on the bottle • Clean the affected area. This formulation utilizes a kit delivery system. Marketed by Cmc Group, Inc., this product is identified by NDC 49687-0021 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
49687-0021-0
Package Description
1 KIT in 1 KIT * 20 POUCH in 1 KIT (49687-0012-0) / .9 g in 1 POUCH * 10 POUCH in 1 KIT (49687-0014-0) / .9 g in 1 POUCH * 10 PACKAGE in 1 KIT (49687-0013-0) / .9 g in 1 PACKAGE * 6 PACKAGE in 1 BOX (49687-0015-1) / .9 g in 1 PACKAGE * 2 BOX in 1 BOX / 10 PATCH in 1 BOX (49687-0011-1) / .9 g in 1 PATCH * 1 TUBE in 1 BOX (49687-0010-1) / 30 mL in 1 TUBE
Product Code
49687-0021
11-Digit Billing Format
49687002100
RxNorm Crosswalk
  • RxCUI: 1012100 - benzalkonium chloride 0.13 % / lidocaine HCl 0.5 % Topical Cream
  • RxCUI: 1012100 - benzalkonium chloride 1.3 MG/ML / lidocaine hydrochloride 5 MG/ML Topical Cream
  • RxCUI: 1012100 - benzalkonium chloride 0.13 % / lidocaine hydrochloride 0.5 % Topical Cream
  • RxCUI: 1038558 - benzalkonium chloride 0.13 % Medicated Pad
  • RxCUI: 1038558 - benzalkonium chloride 1.3 MG/ML Medicated Pad

Clinical Specifications

Proprietary Name
Large Ansi First Aid Kit
Non-Proprietary Name
Water, Benzalkonium Chloride, Isopropyl Alcohol, Bacitracin Zinc, Neomycin Sulfate, Polymyxin B Sulfate, Lidocaine Hydrochloride
Dosage Form
Kit - A packaged collection of related material.
Administration Route
Ophthalmic - Administration to the external eye.
Usage Information
• Flush the affected eye as needed, controlling the rate of flow of solution by pressure on the bottle • Clean the affected area. • Apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily. • May be covered with a sterile bandage. Clean the affected areaAdults and children 2 years of age and older: Apply a small amount of this product to affected area not more than 3 times dailyChildren under 2 years of age: consult a doctorMay be covered with a sterile bandage Wet hands thoroughly with product and allow to dry without wiping.

Regulatory & Marketing

Labeler Name
Cmc Group, Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-09-2016
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage
  • 49687 - Cmc Group, Inc.
    • 49687-0021 - Large Ansi First Aid Kit
      • 49687-0021-0 - 1 KIT in 1 KIT * 20 POUCH in 1 KIT (49687-0012-0) / .9 g in 1 POUCH * 10 POUCH in 1 KIT (49687-0014-0) / .9 g in 1 POUCH * 10 PACKAGE in 1 KIT (49687-0013-0) / .9 g in 1 PACKAGE * 6 PACKAGE in 1 BOX (49687-0015-1) / .9 g in 1 PACKAGE * 2 BOX in 1 BOX / 10 PATCH in 1 BOX (49687-0011-1) / .9 g in 1 PATCH * 1 TUBE in 1 BOX (49687-0010-1) / 30 mL in 1 TUBE

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 49687-0021-0 identifies a specific commercial package of 1 kit in 1 kit * 20 pouch in 1 kit (49687-0012-0) / .9 g in 1 pouch * 10 pouch in 1 kit (49687-0014-0) / .9 g in 1 pouch * 10 package in 1 kit (49687-0013-0) / .9 g in 1 package * 6 package in 1 box (49687-0015-1) / .9 g in 1 package * 2 box in 1 box / 10 patch in 1 box (49687-0011-1) / .9 g in 1 patch * 1 tube in 1 box (49687-0010-1) / 30 ml in 1 tube of Large Ansi First Aid Kit, a human over the counter drug labeled by Cmc Group, Inc.. This kit is formulated for ophthalmic use and contains 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 Cmc Group, Inc. on August 09, 2016. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 49687002100. 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 (5-4-1)
49687-0021-0
11-Digit CMS (5-4-2)
49687-0021-00

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