Clean Revolution
NDC Package 74810-722-04

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

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

Clean Revolution is 1. Marketed by Replenish Bottling Llc, this product is identified by NDC 74810-722 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
74810-722-04
Package Description
100 g in 1 BOTTLE, PUMP
Product Code
74810-722
11-Digit Billing Format
74810072204

Clinical Specifications

Proprietary Name
Clean Revolution
Dosage Form
-
Usage Information
1. Remove foil seal under cap.2. For best results , pour into Clean Revolution® Refillable Foaming Bottle. To create foam, product must be dispensed from a foaming pump. Product can also be dispensed in a liquid consistency using a standard pump or spray bottle. Never mix this product with other household ingredients or pour into a bottle that previously contained other chemicals.3. Apply sanitizer to palm. Rub the product over the surfaces of both hands until your hands are dry.

Regulatory & Marketing

Labeler Name
Replenish Bottling 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
07-07-2020
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (74810-722). Click a package code to view its specific billing and regulatory data.

74810-722-03
100 g in 1 BOTTLE, PLASTIC

* 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 74810-722-04 identifies a specific commercial package of 100 g in 1 bottle, pump of Clean Revolution, labeled by Replenish Bottling 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 Replenish Bottling Llc on July 07, 2020. The current certification is valid through December 31, 2021.

How is this Replenish Bottling Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 74810072204. 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)
74810-722-04
11-Digit CMS (5-4-2)
74810-0722-04

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