Provodine
NDC Package 59426-001-04

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

Package Information

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

Provodine is surgical Hand Scrub:■ Clean under nails with a nail pick.■ Nails should be maintained with a 1 millimeter free edge.■ Wet hands and forearms. Marketed by Microdermis Corporation, this product is identified by NDC 59426-001 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
59426-001-04
Package Description
118 mL in 1 BOTTLE
Product Code
59426-001
11-Digit Billing Format
59426000104

Clinical Specifications

Proprietary Name
Provodine
Dosage Form
-
Usage Information
Surgical Hand Scrub:■ Clean under nails with a nail pick.■ Nails should be maintained with a 1 millimeter free edge.■ Wet hands and forearms. ■ Apply 5 milliliters (teaspoonful) or palmful to hands and forearms.■ Scrub thoroughly for 60 seconds, paying particular attention to the nails, cuticles, and interdigital spaces.■ Rinse and repeat scrub. ■ Dry with a clean towel. Patient Preoperative Skin Preparation:■ Clean the area.■ Apply product to the operative site prior to surgery.■ 1 mL (dime size) covers an estimated 5”x5” area.■ Let dry 1-2 minutes. Healthcare Personnel Handwash Without Water:■ Place a smaller amount (3 mLs) of product in onehand.■ Spread over both hands to wrist and rub intothe skin until dry (approximately 30 seconds).Healthcare Personnel Handwash With Water:■ Wet clean hands and wrists. ■ Apply 3 milliliters into one hand and spread over both hands to wrist.■ Rub thoroughly for 30 seconds.■ Let dry for 30 seconds.■ Rinse for 30 seconds. ■ Dry with a clean towel.

Regulatory & Marketing

Labeler Name
Microdermis Corporation
FDA Application #
part333E
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
09-15-2014
Listing Expiration
12-31-2018
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (59426-001). Click a package code to view its specific billing and regulatory data.

59426-001-03
100 PACKET in 1 BOX / 3 mL in 1 PACKET
59426-001-16
473 mL in 1 BOTTLE

* 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 59426-001-04 identifies a specific commercial package of 118 ml in 1 bottle of Provodine, labeled by Microdermis Corporation. 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 Microdermis Corporation on September 15, 2014. The current certification is valid through December 31, 2018.

How is this Microdermis Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59426000104. 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)
59426-001-04
11-Digit CMS (5-4-2)
59426-0001-04

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