Dynarex Povidone Iodine Surgical Scrub Liquid
NDC Package 67777-142-61

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

Package Information

Dynarex Povidone Iodine Surgical Scrub (povidone iodine surgical scrub solution) liquids is surgical hand scrub: Clean under nails with a nail pick. This formulation utilizes a liquid delivery system. Marketed by Dynarex Corporation, this product is identified by NDC 67777-142 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
67777-142-61
Package Description
4 BOTTLE in 1 CASE / 3790 mL in 1 BOTTLE (67777-142-60)
Product Code
67777-142
11-Digit Billing Format
67777014261

Clinical Specifications

Proprietary Name
Dynarex Povidone Iodine Surgical Scrub
Non-Proprietary Name
Povidone Iodine Surgical Scrub Solution
Substance Name
Povidone-iodine
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)
POVIDONE-IODINE 100 mg/7.5mL
Usage Information
Surgical hand scrub: Clean under nails with a nail pick. Nails should be maintained with a 1 millimeter free edge. Wet hands and forearms. Apply 5 milliliters (teaspoonful) or palmful to hands and forearms. Scrub thoroughly for five minutes paying particular attention to the nails, cuticles, and interdigital spaces. Rinse and repeat scrub.Preoperative skin preparation: Clean the area. Apply product to the operative site prior to surgery.

Regulatory & Marketing

Labeler Name
Dynarex Corporation
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-08-2018
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (67777-142). Click a package code to view its specific billing and regulatory data.

67777-142-51
24 BOTTLE in 1 CASE / 473 mL in 1 BOTTLE (67777-142-50)

* 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 67777-142-61 identifies a specific commercial package of 4 bottle in 1 case / 3790 ml in 1 bottle (67777-142-60) of Dynarex Povidone Iodine Surgical Scrub, a human over the counter drug labeled by Dynarex Corporation. This liquid is formulated for topical use and contains povidone-iodine 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 Dynarex Corporation on May 08, 2018. The current certification is valid through December 31, 2026.

How is this Dynarex Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67777014261. 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)
67777-142-61
11-Digit CMS (5-4-2)
67777-0142-61

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