Dermal Wound Cleanser Spray
NDC Package 69740-490-00

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

Package Information

Dermal Wound Cleanser (benzethonium chloride) sprays is clean the affected areaapply a small amount of this product on the area 1 to 3 times dailyrinse as per normal protocolcover wound with sterile dressing or bandage as neededif applying dressing or bandage, let dry first. This formulation utilizes a spray delivery system. Marketed by Smith & Nephew Medical Ltd., this product is identified by NDC 69740-490 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
69740-490-00
Package Description
473 mL in 1 BOTTLE, SPRAY
Product Code
69740-490
11-Digit Billing Format
69740049000
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Dermal Wound Cleanser
Non-Proprietary Name
Benzethonium Chloride
Substance Name
Benzethonium Chloride
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
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)
BENZETHONIUM CHLORIDE 1.3 g/981mL
Usage Information
Clean the affected areaapply a small amount of this product on the area 1 to 3 times dailyrinse as per normal protocolcover wound with sterile dressing or bandage as neededif applying dressing or bandage, let dry first

Regulatory & Marketing

Labeler Name
Smith & Nephew Medical Ltd.
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-01-1994
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 69740-490-00 identifies a specific commercial package of 473 ml in 1 bottle, spray of Dermal Wound Cleanser, a human over the counter drug labeled by Smith & Nephew Medical Ltd.. This spray is formulated for topical use and contains benzethonium 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 Smith & Nephew Medical Ltd. on April 01, 1994. The current certification is valid through December 31, 2026.

How is this Smith & Nephew Medical Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69740049000. 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)
69740-490-00
11-Digit CMS (5-4-2)
69740-0490-00

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