Loris Bzk Swab
NDC Package 68356-126-04

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

Loris Bzk (benzalkonium chloride) swabs is tear open pouch and use as part of your daily cleansing routine. This formulation utilizes a swab delivery system. Marketed by Lernapharm Loris Inc., this product is identified by NDC 68356-126 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
68356-126-04
Package Description
2.6 g in 1 PACKET
Product Code
68356-126
11-Digit Billing Format
68356012604
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Loris Bzk Antiseptic Wipes
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
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)
BENZALKONIUM CHLORIDE .13 g/100g
Usage Information
Tear open pouch and use as part of your daily cleansing routine. Clean the affected area.Apply this product on the area 1 to 3 times daily.May be covered with a sterile bandage.If bandaged, let dry first.

Regulatory & Marketing

Labeler Name
Lernapharm Loris Inc.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-21-2012
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (68356-126). Click a package code to view its specific billing and regulatory data.

68356-126-01
100 PACKET in 1 BOX / 2.6 g in 1 PACKET
68356-126-02
2.6 g in 1 PACKET
68356-126-03
3 APPLICATOR in 1 PACKAGE / 2.5 g in 1 APPLICATOR

* 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 68356-126-04 identifies a specific commercial package of 2.6 g in 1 packet of Loris Bzk Antiseptic Wipes, a human over the counter drug labeled by Lernapharm Loris Inc.. This swab 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 Lernapharm Loris Inc. on November 21, 2012. The current certification is valid through December 31, 2027.

How is this Lernapharm Loris Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68356012604. 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)
68356-126-04
11-Digit CMS (5-4-2)
68356-0126-04

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