Liquid Bandage
NDC Package 64092-406-01

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.

Liquid Bandage is protects cuts and scrapesPrevents and protects blistersHelps prevent the formations of callusesCovers painful hangnailsParticularly useful for bowlers, golfers, tennis players, fishermen and musicians.It dries rapidly to form a tough protective cover that is antiseptic, flexible, waterproof and lets skin breathe.First aid to help prevent bacterial contamination in minor cuts and scrapes. Marketed by Great Lakes Wholesale, Marketing, And Sales, Inc, this product is identified by NDC 64092-406 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
64092-406-01
Package Description
10 mL in 1 BOTTLE
Product Code
64092-406
11-Digit Billing Format
64092040601

Clinical Specifications

Proprietary Name
Liquid Bandage
Dosage Form
-
Usage Information
Protects cuts and scrapesPrevents and protects blistersHelps prevent the formations of callusesCovers painful hangnailsParticularly useful for bowlers, golfers, tennis players, fishermen and musicians.It dries rapidly to form a tough protective cover that is antiseptic, flexible, waterproof and lets skin breathe.First aid to help prevent bacterial contamination in minor cuts and scrapes.

Regulatory & Marketing

Labeler Name
Great Lakes Wholesale, Marketing, And Sales, Inc
FDA Application #
part333A
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
12-05-2016
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 64092-406-01 identifies a specific commercial package of 10 ml in 1 bottle of Liquid Bandage, labeled by Great Lakes Wholesale, Marketing, And 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, And Sales, Inc on December 05, 2016. The current certification is valid through December 31, 2017.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64092040601. 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)
64092-406-01
11-Digit CMS (5-4-2)
64092-0406-01

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