Hy-g-clenz Liquid
NDC Package 59764-004-13

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

Package Information

Hy-g-clenz (benzalkonium chloride) liquids is - Apply small amount of product to hands.- Hold hands under water and work cleaner into lather.- Rinse hands with water and wipe clean. This formulation utilizes a liquid delivery system. Marketed by Micronova Manufacturing, Inc., this product is identified by NDC 59764-004 and is authorized under FDA application M.

Identification & Billing

NDC Package Code
59764-004-13
Package Description
3.80564 kg in 1 BOTTLE, PLASTIC
Product Code
59764-004
11-Digit Billing Format
59764000413
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Hy-g-clenz
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
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)
BENZALKONIUM CHLORIDE 13 kg/100kg
Usage Information
- Apply small amount of product to hands.- Hold hands under water and work cleaner into lather.- Rinse hands with water and wipe clean.

Regulatory & Marketing

Labeler Name
Micronova Manufacturing, Inc.
Product Type
Human Otc Drug
FDA Application #
M
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-19-2022
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 59764-004-13 identifies a specific commercial package of 3.80564 kg in 1 bottle, plastic of Hy-g-clenz, a human over the counter drug labeled by Micronova Manufacturing, Inc.. This liquid is formulated for topical use and contains benzalkonium chloride 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 Micronova Manufacturing, Inc. on December 19, 2022. The current certification is valid through December 31, 2026.

How is this Micronova Manufacturing, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59764000413. 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)
59764-004-13
11-Digit CMS (5-4-2)
59764-0004-13

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