Whole Body Antiperspirant Wipes Cloth
NDC Package 69990-402-01

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Whole Body Antiperspirant Wipes (aluminum chlohydrate) cloths is apply at bedtime. This formulation utilizes a cloth delivery system. Marketed by Novadore Usa Inc, this product is identified by NDC 69990-402 and is authorized under FDA application M019.

Identification & Billing

NDC Package Code
69990-402-01
Package Description
30 POUCH in 1 POUCH / 155 mL in 1 POUCH
Product Code
11-Digit Billing Format
69990040201

Clinical Specifications

Proprietary Name
Whole Body Antiperspirant Wipes
Non-Proprietary Name
Aluminum Chlohydrate
Substance Name
Aluminum Chlorohydrate
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It 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)
Usage Information
Apply at bedtime. Wash and dry thoroughly before applying. Wipe body/hands/feet and let air dry. Wash off the next morning. Apply as needed during the day.

Regulatory & Marketing

Labeler Name
Novadore Usa Inc
Product Type
Human Otc Drug
FDA Application #
M019
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-29-2022
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 69990-402-01 identifies a specific commercial package of 30 pouch in 1 pouch / 155 ml in 1 pouch of Whole Body Antiperspirant Wipes, a human over the counter drug labeled by Novadore Usa Inc. This cloth is formulated for topical use and contains aluminum chlorohydrate 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 Novadore Usa Inc on March 29, 2022. The current certification is valid through December 31, 2026.

How is this Novadore Usa Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69990040201. 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)
69990-402-01
11-Digit CMS (5-4-2)
69990-0402-01

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