First Mark Ultra Foaming Antibacterial Solution
NDC Package 51042-001-10

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

Package Information

First Mark Ultra Foaming Antibacterial (benzalkonium chloride) solution is wet hands and apply foamscrub hands and forearmsrinsethoroughly and dry. This formulation utilizes a solution delivery system. Marketed by Performance Food Group, this product is identified by NDC 51042-001 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
51042-001-10
Package Description
1250 mL in 1 BOTTLE
Product Code
51042-001
11-Digit Billing Format
51042000110

Clinical Specifications

Proprietary Name
First Mark Ultra Foaming Antibacterial
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
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)
BENZALKONIUM CHLORIDE 5 mg/mL
Usage Information
Wet hands and apply foamscrub hands and forearmsrinsethoroughly and dry

Regulatory & Marketing

Labeler Name
Performance Food Group
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-12-2015
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 51042-001-10 identifies a specific commercial package of 1250 ml in 1 bottle of First Mark Ultra Foaming Antibacterial, a human over the counter drug labeled by Performance Food Group. This solution 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 Performance Food Group on August 12, 2015. The current certification is valid through December 31, 2026.

How is this Performance Food Group product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51042000110. 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)
51042-001-10
11-Digit CMS (5-4-2)
51042-0001-10

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