Maxsaver Cloth
NDC Package 71293-021-04

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

Maxsaver (benzalkonium chloride) cloths is wet hands thoroughly with product and allow to dry.Be sure to use entire wipe.Discard after single use.Children under 6 years of age should be supervised when using this product. This formulation utilizes a cloth delivery system. Marketed by Erc Acquisition, Inc., this product is identified by NDC 71293-021 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
71293-021-04
Package Description
4 POUCH in 1 BOX / 2000 CLOTH in 1 POUCH (71293-021-03)
Product Code
71293-021
11-Digit Billing Format
71293002104
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Maxsaver Sanitizing Wipes
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium Chloride
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
Cutaneous - Administration to the skin.
Active Ingredient(s)
BENZALKONIUM CHLORIDE 1.3 mg/1
Usage Information
Wet hands thoroughly with product and allow to dry.Be sure to use entire wipe.Discard after single use.Children under 6 years of age should be supervised when using this product.

Regulatory & Marketing

Labeler Name
Erc Acquisition, Inc.
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-18-2023
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (71293-021). Click a package code to view its specific billing and regulatory data.

71293-021-02
6 CANISTER in 1 BOX / 2000 CLOTH in 1 CANISTER (71293-021-01)

* 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 71293-021-04 identifies a specific commercial package of 4 pouch in 1 box / 2000 cloth in 1 pouch (71293-021-03) of Maxsaver Sanitizing Wipes, a human over the counter drug labeled by Erc Acquisition, Inc.. This cloth is formulated for cutaneous 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 Erc Acquisition, Inc. on July 18, 2023. The current certification is valid through December 31, 2026.

How is this Erc Acquisition, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71293002104. 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)
71293-021-04
11-Digit CMS (5-4-2)
71293-0021-04

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