Mellow 59ml Hand Sanitizer Original
NDC Package 75580-005-01

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.

Mellow 59ml Hand Sanitizer Original is wet hands thoroughly with product and rub until dry without wipingFor children under 6, use only under adult supervision.Not recommended for infants. Marketed by Mission Y,inc., this product is identified by NDC 75580-005 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
75580-005-01
Package Description
59 mL in 1 BOTTLE, PLASTIC
Product Code
75580-005
11-Digit Billing Format
75580000501
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Mellow 59ml Hand Sanitizer Original
Dosage Form
-
Usage Information
Wet hands thoroughly with product and rub until dry without wipingFor children under 6, use only under adult supervision.Not recommended for infants.

Regulatory & Marketing

Labeler Name
Mission Y,inc.
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
04-20-2020
Listing Expiration
12-31-2021
Exclude Flag
I
Sample Package
Yes

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 75580-005-01 identifies a specific commercial package of 59 ml in 1 bottle, plastic of Mellow 59ml Hand Sanitizer Original, labeled by Mission Y,inc.. 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 Mission Y,inc. on April 20, 2020. The current certification is valid through December 31, 2021.

How is this Mission Y,inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75580000501. 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)
75580-005-01
11-Digit CMS (5-4-2)
75580-0005-01

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