American Red Cross Antiseptic Cleansing Foam Liquid
NDC Package 51628-4539-1

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

Package Information

American Red Cross Antiseptic Cleansing Foam (benzalkonium cl 0.13% v/v) liquids is adults and children 2 years of age and older:clean the affected areaapply a small amount of this product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstchildren under 2 years of age: consult a doctor. This formulation utilizes a liquid delivery system. Marketed by My Imports Usa Llc, this product is identified by NDC 51628-4539 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
51628-4539-1
Package Description
177 mL in 1 BOTTLE
Product Code
51628-4539
11-Digit Billing Format
51628453901
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
American Red Cross Antiseptic Cleansing Foam
Non-Proprietary Name
Benzalkonium Cl 0.13% V/v
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
Adults and children 2 years of age and older:clean the affected areaapply a small amount of this product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstchildren under 2 years of age: consult a doctor

Regulatory & Marketing

Labeler Name
My Imports Usa Llc
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-03-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 51628-4539-1 identifies a specific commercial package of 177 ml in 1 bottle of American Red Cross Antiseptic Cleansing Foam, a human over the counter drug labeled by My Imports Usa 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 My Imports Usa Llc on February 03, 2026. The current certification is valid through December 31, 2027.

How is this My Imports Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 51628453901. 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)
51628-4539-1
11-Digit CMS (5-4-2)
51628-4539-01

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