La Fresh Antiperspirant Wipe Cloth
NDC Package 64709-161-10

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

La Fresh Antiperspirant Wipe (aluminum chlorohydrate 15%) cloths is ■open packet ■remove and unfold wipe ■apply to underarm only. This formulation utilizes a cloth delivery system. Marketed by Diamond Wipes International, Inc, this product is identified by NDC 64709-161 and is authorized under FDA application M019.

Identification & Billing

NDC Package Code
64709-161-10
Package Description
36.58 g in 1 PACKET
Product Code
11-Digit Billing Format
64709016110

Clinical Specifications

Proprietary Name
La Fresh Antiperspirant Wipe
Non-Proprietary Name
Aluminum Chlorohydrate 15%
Substance Name
Aluminum Chlorohydrate
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
Usage Information
■open packet ■remove and unfold wipe ■apply to underarm only

Regulatory & Marketing

Labeler Name
Diamond Wipes International, Inc
Product Type
Human Otc Drug
FDA Application #
M019
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-31-2025
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

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 64709-161-10 identifies a specific commercial package of 36.58 g in 1 packet of La Fresh Antiperspirant Wipe, a human over the counter drug labeled by Diamond Wipes International, Inc. This cloth is formulated for topical use and contains aluminum chlorohydrate 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 Diamond Wipes International, Inc on January 31, 2025. The current certification is valid through December 31, 2026.

How is this Diamond Wipes International, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64709016110. 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)
64709-161-10
11-Digit CMS (5-4-2)
64709-0161-10

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