Cvs Antiseptic Wash
NDC Package 59779-256-39

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.

Cvs Antiseptic Wash is uses- to help reduce the risk of infection in minor cuts scrapes and burns - for the temporary relief of pain and itching associated with minor cuts, scrapes and burnsDirections- adults and children 2 years and older:- use to clean minor cut, scrapes and burns by thoroughly flushing the affected area - let air dry- cover with adhesive bandage or sterile gauze- apply a small amount of this product on the area 1 to 3 times daily- children under 2 years: Do not use, consult a doctor. Marketed by Cvs Pharmacy, this product is identified by NDC 59779-256 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
59779-256-39
Package Description
177 mL in 1 BOTTLE, DISPENSING
Product Code
59779-256
11-Digit Billing Format
59779025639
RxNorm Crosswalk
  • RxCUI: 1012081 - benzalkonium chloride 0.13 % / lidocaine HCl 2 % Topical Solution
  • RxCUI: 1012081 - benzalkonium chloride 1.3 MG/ML / lidocaine hydrochloride 20 MG/ML Topical Solution
  • RxCUI: 1012081 - benzalkonium chloride 0.13 % / lidocaine hydrochloride 2 % Topical Solution

Clinical Specifications

Proprietary Name
Cvs Antiseptic Wash
Dosage Form
-
Usage Information
Uses- to help reduce the risk of infection in minor cuts scrapes and burns - for the temporary relief of pain and itching associated with minor cuts, scrapes and burnsDirections- adults and children 2 years and older:- use to clean minor cut, scrapes and burns by thoroughly flushing the affected area - let air dry- cover with adhesive bandage or sterile gauze- apply a small amount of this product on the area 1 to 3 times daily- children under 2 years: Do not use, consult a doctor

Regulatory & Marketing

Labeler Name
Cvs Pharmacy
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-08-2010
Listing Expiration
12-31-2017
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 59779-256-39 identifies a specific commercial package of 177 ml in 1 bottle, dispensing of Cvs Antiseptic Wash, labeled by Cvs Pharmacy. 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 Cvs Pharmacy on July 08, 2010. The current certification is valid through December 31, 2017.

How is this Cvs Pharmacy product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59779025639. 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)
59779-256-39
11-Digit CMS (5-4-2)
59779-0256-39

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