Pacific Blue Select Gel Hand Sanitizer Fragrance And Dye Free Liquid
NDC Package 54622-308-01

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

Package Information

Pacific Blue Select Gel Hand Sanitizer Fragrance And Dye Free (ethyl alcohol) liquids is wet hands thoroughly with product and allow to dry without wiping. This formulation utilizes a liquid delivery system. Marketed by Georgia-pacific Consumer Products, this product is identified by NDC 54622-308 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
54622-308-01
Package Description
12 BOTTLE, PUMP in 1 BOX / 455 mL in 1 BOTTLE, PUMP
Product Code
54622-308
11-Digit Billing Format
54622030801
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pacific Blue Select Gel Hand Sanitizer Fragrance And Dye Free
Non-Proprietary Name
Ethyl Alcohol
Substance Name
Alcohol
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)
ALCOHOL 67 mL/100mL
Usage Information
Wet hands thoroughly with product and allow to dry without wiping.

Regulatory & Marketing

Labeler Name
Georgia-pacific Consumer Products
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-11-2017
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 54622-308-01 identifies a specific commercial package of 12 bottle, pump in 1 box / 455 ml in 1 bottle, pump of Pacific Blue Select Gel Hand Sanitizer Fragrance And Dye Free, a human over the counter drug labeled by Georgia-pacific Consumer Products. This liquid is formulated for topical use and contains alcohol 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 Georgia-pacific Consumer Products on October 11, 2017. The current certification is valid through December 31, 2026.

How is this Georgia-pacific Consumer Products product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 54622030801. 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)
54622-308-01
11-Digit CMS (5-4-2)
54622-0308-01

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