First Dephense Alcohol-free Antiseptic Foam Hand Sanitizer
NDC Package 76116-100-01

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.

First Dephense Alcohol-free Antiseptic Foam Hand Sanitizer is usesFor hand sanitizing to decrease bacteria on the skinRecommended for repeated use. Marketed by First Dephense, Llc, this product is identified by NDC 76116-100 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
76116-100-01
Package Description
50 mL in 1 BOTTLE, PUMP
Product Code
76116-100
11-Digit Billing Format
76116010001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
First Dephense Alcohol-free Antiseptic Foam Hand Sanitizer
Dosage Form
-
Usage Information
UsesFor hand sanitizing to decrease bacteria on the skinRecommended for repeated use

Regulatory & Marketing

Labeler Name
First Dephense, Llc
FDA Application #
part333E
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
01-13-2011
Listing Expiration
12-31-2017
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 76116-100-01 identifies a specific commercial package of 50 ml in 1 bottle, pump of First Dephense Alcohol-free Antiseptic Foam Hand Sanitizer, labeled by First Dephense, 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 First Dephense, Llc on January 13, 2011. The current certification is valid through December 31, 2017.

How is this First Dephense, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76116010001. 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)
76116-100-01
11-Digit CMS (5-4-2)
76116-0100-01

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