Alcohol Prep Pad Sponge
NDC Package 69250-661-02

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

Package Information

Alcohol Prep Pad sponges is wipe injection site vigorously.Discard after use. This formulation utilizes a sponge delivery system. Marketed by Biomed Resource Inc., this product is identified by NDC 69250-661.

Identification & Billing

NDC Package Code
69250-661-02
Package Description
200 mL in 1 BOX
Product Code
69250-661
11-Digit Billing Format
69250066102

Clinical Specifications

Proprietary Name
Alcohol Prep Pad
Non-Proprietary Name
Alcohol Prep Pad
Substance Name
Isopropyl Alcohol
Dosage Form
Sponge - A porous, interlacing, absorbent material that contains a drug. It is typically used for applying or introducing medication, or for cleansing. A sponge usually retains its shape.
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 7 mL/10mL
Usage Information
Wipe injection site vigorously.Discard after use.

Regulatory & Marketing

Labeler Name
Biomed Resource Inc.
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
10-30-2014
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 69250-661-02 identifies a specific commercial package of 200 ml in 1 box of Alcohol Prep Pad, a human over the counter drug labeled by Biomed Resource Inc.. This sponge 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 Biomed Resource Inc. on October 30, 2014. The current certification is valid through December 31, 2026.

How is this Biomed Resource Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69250066102. 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)
69250-661-02
11-Digit CMS (5-4-2)
69250-0661-02

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