Hydrogen Peroxide Solution
NDC Package 67751-001-04

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

Package Information

Hydrogen Peroxide solution is first aid antiseptic:clean the affected areaapply a small amount of product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstOral debriding agent (oral rinse):adults and children 2 years of age and over:mix with an equal amount of waterswish around in the mouth over the affected area for at least 1 minute and then spit outuse up to 4 times daily after meals and at bedtime or as directed by a dentist or doctorchildren under 12 years of age should be supervised in the use of this productchildren under 2 years of age: consult a dentist or doctor. This formulation utilizes a solution delivery system. Marketed by Navajo Manufacturing Company Inc., this product is identified by NDC 67751-001 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
67751-001-04
Package Description
118 mL in 1 BOTTLE, PLASTIC
Product Code
67751-001
11-Digit Billing Format
67751000104
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Hydrogen Peroxide
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
Dosage Form
Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
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)
HYDROGEN PEROXIDE 3 mL/100mL
Usage Information
First aid antiseptic:clean the affected areaapply a small amount of product on the area 1 to 3 times dailymay be covered with a sterile bandageif bandaged, let dry firstOral debriding agent (oral rinse):adults and children 2 years of age and over:mix with an equal amount of waterswish around in the mouth over the affected area for at least 1 minute and then spit outuse up to 4 times daily after meals and at bedtime or as directed by a dentist or doctorchildren under 12 years of age should be supervised in the use of this productchildren under 2 years of age: consult a dentist or doctor

Regulatory & Marketing

Labeler Name
Navajo Manufacturing Company Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-24-2013
Listing Expiration
12-31-2027
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 67751-001-04 identifies a specific commercial package of 118 ml in 1 bottle, plastic of Hydrogen Peroxide, a human over the counter drug labeled by Navajo Manufacturing Company Inc.. This solution is formulated for topical use and contains hydrogen peroxide 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 Navajo Manufacturing Company Inc. on April 24, 2013. The current certification is valid through December 31, 2027.

How is this Navajo Manufacturing Company Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67751000104. 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)
67751-001-04
11-Digit CMS (5-4-2)
67751-0001-04

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