Health Care Instant Hand Sanitizer Ice Clear
NDC Package 64092-113-04

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.

Health Care Instant Hand Sanitizer Ice Clear is wet hands thoroughly with productbriskly rub hands together until drysupervise children in the use of this product. Marketed by Great Lakes Wholesale, Marketing, & Sales, Inc., this product is identified by NDC 64092-113 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
64092-113-04
Package Description
2 BOTTLE in 1 PACKAGE / 60 mL in 1 BOTTLE
Product Code
64092-113
11-Digit Billing Format
64092011304
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Health Care Instant Hand Sanitizer Ice Clear
Dosage Form
-
Usage Information
Wet hands thoroughly with productbriskly rub hands together until drysupervise children in the use of this product

Regulatory & Marketing

Labeler Name
Great Lakes Wholesale, Marketing, & Sales, Inc.
FDA Application #
part333E
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
03-28-2012
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 64092-113-04 identifies a specific commercial package of 2 bottle in 1 package / 60 ml in 1 bottle of Health Care Instant Hand Sanitizer Ice Clear, labeled by Great Lakes Wholesale, Marketing, & Sales, 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 Great Lakes Wholesale, Marketing, & Sales, Inc. on March 28, 2012. The current certification is valid through December 31, 2017.

How is this Great Lakes Wholesale, Marketing, & Sales, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64092011304. 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)
64092-113-04
11-Digit CMS (5-4-2)
64092-0113-04

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