Two Pvp-i Scrub Large Winged Sponges Sponge
NDC Package 59050-754-12

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

Package Information

Two Pvp-i Scrub Large Winged Sponges (povidone-iodine) sponges is use sponge sticks to prep desired area. This formulation utilizes a sponge delivery system. Marketed by Changzhou Maokang Medical Products Co., Ltd, this product is identified by NDC 59050-754 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
59050-754-12
Package Description
10 POUCH in 1 BOX / 2 POUCH in 1 POUCH / 120 mL in 1 POUCH
Product Code
59050-754
11-Digit Billing Format
59050075412

Clinical Specifications

Proprietary Name
Two Pvp-i Scrub Large Winged Sponges
Non-Proprietary Name
Povidone-iodine
Substance Name
Povidone-iodine
Dosage Form
Sponge - A porous, interlacing, absorbent material that contains a drug. It is typically used for applying or introducing medication, or for cleansing. A sponge usually retains its shape.
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)
POVIDONE-IODINE 100 mg/mL
Usage Information
Use sponge sticks to prep desired area

Regulatory & Marketing

Labeler Name
Changzhou Maokang Medical Products Co., Ltd
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-01-2020
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 59050-754-12 identifies a specific commercial package of 10 pouch in 1 box / 2 pouch in 1 pouch / 120 ml in 1 pouch of Two Pvp-i Scrub Large Winged Sponges, a human over the counter drug labeled by Changzhou Maokang Medical Products Co., Ltd. This sponge is formulated for topical use and contains povidone-iodine 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 Changzhou Maokang Medical Products Co., Ltd on June 01, 2020. The current certification is valid through December 31, 2026.

How is this Changzhou Maokang Medical Products Co., Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59050075412. 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)
59050-754-12
11-Digit CMS (5-4-2)
59050-0754-12

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