Benzocaine And Triclosan
NDC Package 56104-005-03

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Benzocaine And Triclosan is adults and children 2 years and older: clean the affected area; hold can 4" to 6" from skin; spray on affected area not more than 3 to 4 times dailymay cover with a sterile bandage; if so, let dry first to apply to face, spray in palm of  hand and gently applychildren under 2 years: ask a doctor. Marketed by Premier Brands Of America Inc., this product is identified by NDC 56104-005 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
56104-005-03
Package Description
85 g in 1 CANISTER
Product Code
56104-005
11-Digit Billing Format
56104000503
RxNorm Crosswalk
  • RxCUI: 359261 - benzocaine 20 % / triclosan 0.13 % Topical Spray
  • RxCUI: 359261 - benzocaine 200 MG/ML / triclosan 1.3 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
Benzocaine And Triclosan
Dosage Form
-
Usage Information
Adults and children 2 years and older: clean the affected area; hold can 4" to 6" from skin; spray on affected area not more than 3 to 4 times dailymay cover with a sterile bandage; if so, let dry first to apply to face, spray in palm of  hand and gently applychildren under 2 years: ask a doctor

Regulatory & Marketing

Labeler Name
Premier Brands Of America Inc.
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
01-01-2013
Listing Expiration
12-31-2021
Exclude Flag
I
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 56104-005-03 identifies a specific commercial package of 85 g in 1 canister of Benzocaine And Triclosan, labeled by Premier Brands Of America Inc.. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Premier Brands Of America Inc. on January 01, 2013. The current certification is valid through December 31, 2021.

How is this Premier Brands Of America Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 56104000503. 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)
56104-005-03
11-Digit CMS (5-4-2)
56104-0005-03

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