Forticept Antimicrobial Hydrogel Wound Dressing Gel
NDC Package 72127-0901-1

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

Package Information

Forticept Antimicrobial Hydrogel Wound Dressing (benzethonium chloride, thymol) gel is do not use on children under 2 years of age unless directed by a doctor.When using this product avoid contact with eyes. This formulation utilizes a gel delivery system. Marketed by Lidan, Inc, this product is identified by NDC 72127-0901 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
72127-0901-1
Package Description
85 g in 1 TUBE
Product Code
72127-0901
11-Digit Billing Format
72127090101
RxNorm Crosswalk
  • RxCUI: 2044644 - benzethonium chloride 0.1 % / thymol 0.1 % Topical Gel
  • RxCUI: 2044644 - benzethonium chloride 0.001 MG/MG / thymol 0.001 MG/MG Topical Gel

Clinical Specifications

Proprietary Name
Forticept Antimicrobial Hydrogel Wound Dressing
Non-Proprietary Name
Benzethonium Chloride, Thymol
Substance Name
Benzethonium Chloride; Thymol
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
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
Do not use on children under 2 years of age unless directed by a doctor.When using this product avoid contact with eyes.

Regulatory & Marketing

Labeler Name
Lidan, Inc
Product Type
Human Otc Drug
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-20-2022
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 72127-0901-1 identifies a specific commercial package of 85 g in 1 tube of Forticept Antimicrobial Hydrogel Wound Dressing, a human over the counter drug labeled by Lidan, Inc. This gel is formulated for topical use and contains benzethonium chloride; thymol 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 Lidan, Inc on February 20, 2022. The current certification is valid through December 31, 2026.

How is this Lidan, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72127090101. 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 (5-4-1)
72127-0901-1
11-Digit CMS (5-4-2)
72127-0901-01

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