Povidone Iodine Swabstick
NDC Package 69396-187-01

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

Package Information

Povidone Iodine Swabstick (povidone iodine 10%) sticks is for preparation of the skin prior to surgeryClean the affected areaRemove swab by stickApply to the operative site prior to surgeryFor use as a first aid antisepticClean the affected areaapply a small amount of this product (equal to the surface area of a fingertip) to the area 1 to 3 times daily.may be covered with a sterile bandageif bandaged let dry first. This formulation utilizes a stick delivery system. Marketed by Trifecta Pharmaceuticals Usa Llc, this product is identified by NDC 69396-187 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
69396-187-01
Package Description
50 PACKET in 1 BOX / 2.5 mL in 1 PACKET
Product Code
69396-187
11-Digit Billing Format
69396018701

Clinical Specifications

Proprietary Name
Povidone Iodine Swabstick
Non-Proprietary Name
Povidone Iodine 10%
Substance Name
Povidone-iodine
Dosage Form
Stick - A dosage form prepared in a relatively long and slender often cylindrical form.
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 10 mg/mL
Usage Information
For preparation of the skin prior to surgeryClean the affected areaRemove swab by stickApply to the operative site prior to surgeryFor use as a first aid antisepticClean the affected areaapply a small amount of this product (equal to the surface area of a fingertip) to the area 1 to 3 times daily.may be covered with a sterile bandageif bandaged let dry first

Regulatory & Marketing

Labeler Name
Trifecta Pharmaceuticals Usa Llc
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
08-27-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 69396-187-01 identifies a specific commercial package of 50 packet in 1 box / 2.5 ml in 1 packet of Povidone Iodine Swabstick, a human over the counter drug labeled by Trifecta Pharmaceuticals Usa Llc. This stick 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 Trifecta Pharmaceuticals Usa Llc on August 27, 2026. The current certification is valid through December 31, 2027.

How is this Trifecta Pharmaceuticals Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69396018701. 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)
69396-187-01
11-Digit CMS (5-4-2)
69396-0187-01

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