T.n. Dickinsons Wound Cleansing Liquid
NDC Package 52651-055-03

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

T.n. Dickinsons Wound Cleansing (benzalkonium chloride, pramoxine hydrochloride) liquids is adults and children 2 years of age and older:clean the affected areaspray 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 Dickinson Brands Inc., this product is identified by NDC 52651-055 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
52651-055-03
Package Description
237 mL in 1 BOTTLE, SPRAY
Product Code
11-Digit Billing Format
52651005503
RxNorm Crosswalk
  • RxCUI: 1049123 - benzalkonium Cl 0.13 % / pramoxine HCl 1 % Topical Spray
  • RxCUI: 1049123 - benzalkonium chloride 1.3 MG/ML / pramoxine hydrochloride 10 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
T.n. Dickinsons Wound Cleansing
Non-Proprietary Name
Benzalkonium Chloride, Pramoxine Hydrochloride
Substance Name
Benzalkonium Chloride; Pramoxine Hydrochloride
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.
Usage Information
Adults and children 2 years of age and older:clean the affected areaspray 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
Dickinson Brands Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-02-2025
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 52651-055-03 identifies a specific commercial package of 237 ml in 1 bottle, spray of T.n. Dickinsons Wound Cleansing, a human over the counter drug labeled by Dickinson Brands Inc.. This liquid is formulated for topical use and contains benzalkonium chloride; pramoxine hydrochloride 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 Dickinson Brands Inc. on December 02, 2025. The current certification is valid through December 31, 2026.

How is this Dickinson Brands Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 52651005503. 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)
52651-055-03
11-Digit CMS (5-4-2)
52651-0055-03

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