Clean Revolution Anti-bacterial Foaming Hand Refill Supply Container - Anti-bacterial - Eliminates 99.9% Germs - Ready To Use - Fresh Orange Liquid
NDC Package 74810-727-00

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

Package Information

Clean Revolution Anti-bacterial Foaming Hand Refill Supply Container - Anti-bacterial - Eliminates 99.9% Germs - Ready To Use - Fresh Orange (benzethonium chloride) liquids is 1. This formulation utilizes a liquid delivery system. Marketed by Replenish Bottling Llc, this product is identified by NDC 74810-727 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
74810-727-00
Package Description
3785 mL in 1 BOTTLE
Product Code
74810-727
11-Digit Billing Format
74810072700
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Clean Revolution Anti-bacterial Foaming Hand Refill Supply Container - Anti-bacterial - Eliminates 99.9% Germs - Ready To Use - Fresh Orange
Non-Proprietary Name
Benzethonium Chloride
Substance Name
Benzethonium Chloride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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)
BENZETHONIUM CHLORIDE 1.3 mg/mL
Usage Information
1. Remove foil seal under cap. 2. Apply to hands and wet as needed. Lather vigorously for at least 15 seconds. 3. Wash skin, rinse thoroughly and dry. 4. For best results, pour into Clean Revolution® Refillable Bottle. Product can 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.

Regulatory & Marketing

Labeler Name
Replenish Bottling Llc
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-01-2023
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 74810-727-00 identifies a specific commercial package of 3785 ml in 1 bottle of Clean Revolution Anti-bacterial Foaming Hand Refill Supply Container - Anti-bacterial - Eliminates 99.9% Germs - Ready To Use - Fresh Orange, a human over the counter drug labeled by Replenish Bottling Llc. This liquid is formulated for topical use and contains benzethonium 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 Replenish Bottling Llc on June 01, 2023. The current certification is valid through December 31, 2026.

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

For medical billing and reimbursement, this package follows the 11-digit CMS format: 74810072700. 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)
74810-727-00
11-Digit CMS (5-4-2)
74810-0727-00

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