Nelsons Green Brier Hand Sanitizer
NDC Package 74204-003-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Nelsons Green Brier Hand Sanitizer is hand Sanitizer to help reduce bacteria potentially can cause disease. Marketed by Nelson's Green Brier Distillery, Llc, this product is identified by NDC 74204-003 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
74204-003-01
Package Description
118.3 mL in 1 BOTTLE, PLASTIC
Product Code
74204-003
11-Digit Billing Format
74204000301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Nelsons Green Brier Hand Sanitizer
Dosage Form
-
Usage Information
Hand Sanitizer to help reduce bacteria potentially can cause disease. For use when soap and water are not available.

Regulatory & Marketing

Labeler Name
Nelson's Green Brier Distillery, Llc
FDA Application #
part333A
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
04-17-2020
Listing Expiration
12-31-2021
Exclude Flag
I
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 74204-003-01 identifies a specific commercial package of 118.3 ml in 1 bottle, plastic of Nelsons Green Brier Hand Sanitizer, labeled by Nelson's Green Brier Distillery, Llc. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Nelson's Green Brier Distillery, Llc on April 17, 2020. The current certification is valid through December 31, 2021.

How is this Nelson's Green Brier Distillery, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 74204000301. 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)
74204-003-01
11-Digit CMS (5-4-2)
74204-0003-01

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