Dg Health Spray
NDC Package 75712-200-01

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

Package Information

Dg Health (benzalkonium cl, lidocaine hcl) sprays is •adults and children 2 years and older: clean the affected area; spray a small amount on the area 1-3 times daily; may be covered with a sterile bandage (let dry first)•children under 2 years: ask a doctor. This formulation utilizes a spray delivery system. Marketed by Dollar General Corporation, this product is identified by NDC 75712-200 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
75712-200-01
Package Description
148 mL in 1 BOTTLE
Product Code
75712-200
11-Digit Billing Format
75712020001
RxNorm Crosswalk
  • RxCUI: 2047877 - benzalkonium chloride 0.13 % / lidocaine HCl 4 % Topical Spray
  • RxCUI: 2047877 - benzalkonium chloride 1.3 MG/ML / lidocaine hydrochloride 40 MG/ML Topical Spray

Clinical Specifications

Proprietary Name
Dg Health Maximum Strength Pain Relieving Cleansing
Non-Proprietary Name
Benzalkonium Cl, Lidocaine Hcl
Substance Name
Benzalkonium Chloride; Lidocaine Hydrochloride
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
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)
Pharmacologic Class
Usage Information
•adults and children 2 years and older: clean the affected area; spray a small amount on the area 1-3 times daily; may be covered with a sterile bandage (let dry first)•children under 2 years: ask a doctor

Regulatory & Marketing

Labeler Name
Dollar General Corporation
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-11-2022
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 75712-200-01 identifies a specific commercial package of 148 ml in 1 bottle of Dg Health Maximum Strength Pain Relieving Cleansing, a human over the counter drug labeled by Dollar General Corporation. This spray is formulated for topical use and contains benzalkonium chloride; lidocaine hydrochloride 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 Dollar General Corporation on February 11, 2022. The current certification is valid through December 31, 2026.

How is this Dollar General Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 75712020001. 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)
75712-200-01
11-Digit CMS (5-4-2)
75712-0200-01

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