Hims Delay Wipes Dressing
NDC Package 71730-009-03

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

Hims Delay Wipes (benzocaine wipes) dressings is apply a small amount to head and shaft of penis before intercourse, or use as directed by a doctor. This formulation utilizes a dressing delivery system. Marketed by Hims Inc., this product is identified by NDC 71730-009 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
71730-009-03
Package Description
3 POUCH in 1 CARTON / 3 g in 1 POUCH
Product Code
71730-009
11-Digit Billing Format
71730000903

Clinical Specifications

Proprietary Name
Hims Delay Wipes
Non-Proprietary Name
Benzocaine Wipes
Substance Name
Benzocaine
Dosage Form
Dressing - The application of various materials for protecting a wound.
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)
BENZOCAINE 70 g/1000g
Pharmacologic Class
Usage Information
Apply a small amount to head and shaft of penis before intercourse, or use as directed by a doctor. Wash product off after intercourse.

Regulatory & Marketing

Labeler Name
Hims Inc.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-14-2021
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 (71730-009). Click a package code to view its specific billing and regulatory data.

71730-009-12
12 POUCH in 1 CARTON / 3 g in 1 POUCH

* 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 71730-009-03 identifies a specific commercial package of 3 pouch in 1 carton / 3 g in 1 pouch of Hims Delay Wipes, a human over the counter drug labeled by Hims Inc.. This dressing is formulated for topical use and contains benzocaine 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 Hims Inc. on June 14, 2021. The current certification is valid through December 31, 2026.

How is this Hims Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71730000903. 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)
71730-009-03
11-Digit CMS (5-4-2)
71730-0009-03

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