The Pharma-c Company 3 Hydrogen Peroxide Wipes Cloth
NDC Package 55239-360-00

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

Package Information

The Pharma-c Company 3 Hydrogen Peroxide Wipes (hydrogen peroxide) cloths is • clean the affected area • apply product on the affected area of the body 1 to 3 times a day • may be covered with a sterile bandage • if bandaged, let dry first. This formulation utilizes a cloth delivery system. Marketed by Kleen Test Products Corporation, this product is identified by NDC 55239-360 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
55239-360-00
Package Description
40 PATCH in 1 CANISTER / 4.5 mL in 1 PATCH
Product Code
55239-360
11-Digit Billing Format
55239036000
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
The Pharma-c Company 3 Hydrogen Peroxide Wipes
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
HYDROGEN PEROXIDE 30 mg/mL
Usage Information
• clean the affected area • apply product on the affected area of the body 1 to 3 times a day • may be covered with a sterile bandage • if bandaged, let dry first

Regulatory & Marketing

Labeler Name
Kleen Test Products Corporation
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2021
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 55239-360-00 identifies a specific commercial package of 40 patch in 1 canister / 4.5 ml in 1 patch of The Pharma-c Company 3 Hydrogen Peroxide Wipes, a human over the counter drug labeled by Kleen Test Products Corporation. This cloth is formulated for topical use and contains hydrogen peroxide 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 Kleen Test Products Corporation on May 01, 2021. The current certification is valid through December 31, 2026.

How is this Kleen Test Products Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55239036000. 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)
55239-360-00
11-Digit CMS (5-4-2)
55239-0360-00

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