Water Additive
NDC Package 64809-105-20

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.

Water Additive is mix additive with potable water as follows:Wear protective eyewear and glovesFollow sanitary proceduresThoroughly clean portable eyewash station and rinse with potable waterUse a clean container of sufficient capacity to mix enough solution to fill eyewash station. Marketed by Sperian Eye & Face Protection Inc, this product is identified by NDC 64809-105 and is authorized under FDA application part349.

Identification & Billing

NDC Package Code
64809-105-20
Package Description
236 mL in 1 BOTTLE, PLASTIC
Product Code
64809-105
11-Digit Billing Format
64809010520

Clinical Specifications

Proprietary Name
Water Additive
Dosage Form
-
Usage Information
Mix additive with potable water as follows:Wear protective eyewear and glovesFollow sanitary proceduresThoroughly clean portable eyewash station and rinse with potable waterUse a clean container of sufficient capacity to mix enough solution to fill eyewash station. Solution may be mixed directly in eyewash stationAdd entire contents of the bottle to the containerFill the station to the manufacturer's required level and mix or agitate thoroughlyDate station inspection Station should be cleaned and refilled every 120 days when using this productProperly dispose of empty bottles after use. D o not reuse.

Regulatory & Marketing

Labeler Name
Sperian Eye & Face Protection Inc
FDA Application #
part349
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
02-01-2012
Listing Expiration
12-31-2019
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 64809-105-20 identifies a specific commercial package of 236 ml in 1 bottle, plastic of Water Additive, labeled by Sperian Eye & Face Protection 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 Sperian Eye & Face Protection Inc on February 01, 2012. The current certification is valid through December 31, 2019.

How is this Sperian Eye & Face Protection Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 64809010520. 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)
64809-105-20
11-Digit CMS (5-4-2)
64809-0105-20

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