Members Mark Alcohol Prep Pads, Sterile Swab
NDC Package 68196-404-01

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

Package Information

Members Mark Alcohol Prep Pads, Sterile (isopropyl alcohol) swabs is prepare site by wiping vigorously. This formulation utilizes a swab delivery system. Marketed by Sam's Club West Inc., this product is identified by NDC 68196-404 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
68196-404-01
Package Description
100 POUCH in 1 BOX / .4 mL in 1 POUCH
Product Code
68196-404
11-Digit Billing Format
68196040401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Members Mark Alcohol Prep Pads, Sterile
Non-Proprietary Name
Isopropyl Alcohol
Substance Name
Isopropyl Alcohol
Dosage Form
Swab - A small piece of relatively flat absorbent material that contains a drug. A swab may also be attached to one end of a small stick. A swab is typically used for applying medication or for cleansing.
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)
ISOPROPYL ALCOHOL 70 mL/100mL
Usage Information
Prepare site by wiping vigorously

Regulatory & Marketing

Labeler Name
Sam's Club West Inc.
Product Type
Human Otc Drug
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-01-2023
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 68196-404-01 identifies a specific commercial package of 100 pouch in 1 box / .4 ml in 1 pouch of Members Mark Alcohol Prep Pads, Sterile, a human over the counter drug labeled by Sam's Club West Inc.. This swab is formulated for topical use and contains isopropyl alcohol 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 Sam's Club West Inc. on June 01, 2023. The current certification is valid through December 31, 2026.

How is this Sam's Club West Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68196040401. 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)
68196-404-01
11-Digit CMS (5-4-2)
68196-0404-01

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