Pro Formance Plum Perfection Antibacterial Foam S Oap Liquid
NDC Package 66908-401-40

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Pro Formance Plum Perfection Antibacterial Foam S Oap (benzalkonium chloride) liquids is • Wet hands • Apply a small amount of product and work into a lather • Rinse well and dry hands completely. This formulation utilizes a liquid delivery system. Marketed by Pro-link, Inc., this product is identified by NDC 66908-401 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
66908-401-40
Package Description
1200 mL in 1 PACKAGE
Product Code
66908-401
11-Digit Billing Format
66908040140

Clinical Specifications

Proprietary Name
Pro Formance Plum Perfection Antibacterial Foam S Oap
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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)
BENZALKONIUM CHLORIDE .005 mg/mL
Usage Information
• Wet hands • Apply a small amount of product and work into a lather • Rinse well and dry hands completely

Regulatory & Marketing

Labeler Name
Pro-link, Inc.
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-28-2018
Listing Expiration
12-31-2026
Exclude Flag
N
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 66908-401-40 identifies a specific commercial package of 1200 ml in 1 package of Pro Formance Plum Perfection Antibacterial Foam S Oap, a human over the counter drug labeled by Pro-link, Inc.. This liquid is formulated for topical use and contains benzalkonium chloride 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 Pro-link, Inc. on February 28, 2018. The current certification is valid through December 31, 2026.

How is this Pro-link, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66908040140. 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)
66908-401-40
11-Digit CMS (5-4-2)
66908-0401-40

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