Antimicrobial Sanitizing Hand Wipe
NDC Package 67777-330-01

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.

Antimicrobial Sanitizing Hand Wipe is wet hands thoroughly with product and allow to dry without wiping. Marketed by Dynarex, this product is identified by NDC 67777-330 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
67777-330-01
Package Description
10 BOX in 1 CASE / 100 POUCH in 1 BOX (67777-330-02) / .7 mL in 1 POUCH
Product Code
67777-330
11-Digit Billing Format
67777033001
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Antimicrobial Sanitizing Hand Wipe
Dosage Form
-
Usage Information
Wet hands thoroughly with product and allow to dry without wiping.

Regulatory & Marketing

Labeler Name
Dynarex
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-16-2020
Listing Expiration
12-31-2025
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 67777-330-01 identifies a specific commercial package of 10 box in 1 case / 100 pouch in 1 box (67777-330-02) / .7 ml in 1 pouch of Antimicrobial Sanitizing Hand Wipe, labeled by Dynarex. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. 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 Dynarex on August 16, 2020. The current certification is valid through December 31, 2025.

How is this Dynarex product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 67777033001. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. 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)
67777-330-01
11-Digit CMS (5-4-2)
67777-0330-01

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