Mg Foamsan Liquid
NDC Package 50241-522-01

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

Package Information

Mg Foamsan (benzalkonium chloride) liquids is -Pump a small amount of foam into palm of hand. This formulation utilizes a liquid delivery system. Marketed by Morgan Gallacher Inc. Dba Custom Chemical Formulators Inc., this product is identified by NDC 50241-522 and is authorized under FDA application M.

Identification & Billing

NDC Package Code
50241-522-01
Package Description
3785 g in 1 BOTTLE, PLASTIC
Product Code
50241-522
11-Digit Billing Format
50241052201
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Mg Foamsan
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 .1 g/100g
Usage Information
-Pump a small amount of foam into palm of hand.  -Rub thoroughly over all surfaces of both hands.  -Rub hands together brisky until dry

Regulatory & Marketing

Labeler Name
Morgan Gallacher Inc. Dba Custom Chemical Formulators Inc.
Product Type
Human Otc Drug
FDA Application #
M
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-26-2020
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 50241-522-01 identifies a specific commercial package of 3785 g in 1 bottle, plastic of Mg Foamsan, a human over the counter drug labeled by Morgan Gallacher Inc. Dba Custom Chemical Formulators Inc.. 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 Morgan Gallacher Inc. Dba Custom Chemical Formulators Inc. on May 26, 2020. The current certification is valid through December 31, 2026.

How is this Morgan Gallacher Inc. Dba Custom Chemical Formulators Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 50241052201. 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)
50241-522-01
11-Digit CMS (5-4-2)
50241-0522-01

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