Citrus Fresh Liquid Antimicrobial Liquid
NDC Package 76402-421-03

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

Citrus Fresh Liquid Antimicrobial (benzalkonium chloride) liquids is •Apply soap to palm of hand.•Lather and scrub hands (including fingers, wrist, and cuticles) vigorously for 60 seconds.•Rinse with water until all soap is removed from hands.•Dry completely (incomplete drying may lead to chapped skin).•Children under 6 years of age should be supervised when using this product. This formulation utilizes a liquid delivery system. Marketed by Hillyard Gmp, this product is identified by NDC 76402-421 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
76402-421-03
Package Description
4 BOTTLE, PLASTIC in 1 CARTON / 1250 mL in 1 BOTTLE, PLASTIC
Product Code
76402-421
11-Digit Billing Format
76402042103
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Citrus Fresh Liquid Antimicrobial
Non-Proprietary Name
Benzalkonium Chloride
Substance Name
Benzalkonium 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)
BENZALKONIUM CHLORIDE .13 g/100mL
Usage Information
•Apply soap to palm of hand.•Lather and scrub hands (including fingers, wrist, and cuticles) vigorously for 60 seconds.•Rinse with water until all soap is removed from hands.•Dry completely (incomplete drying may lead to chapped skin).•Children under 6 years of age should be supervised when using this product.

Regulatory & Marketing

Labeler Name
Hillyard Gmp
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-01-2020
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (76402-421). Click a package code to view its specific billing and regulatory data.

76402-421-02
3 BOTTLE, PLASTIC in 1 CARTON / 1000 mL 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 76402-421-03 identifies a specific commercial package of 4 bottle, plastic in 1 carton / 1250 ml in 1 bottle, plastic of Citrus Fresh Liquid Antimicrobial, a human over the counter drug labeled by Hillyard Gmp. This liquid is formulated for topical use and contains benzalkonium 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 Hillyard Gmp on April 01, 2020. The current certification is valid through December 31, 2026.

How is this Hillyard Gmp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 76402042103. 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)
76402-421-03
11-Digit CMS (5-4-2)
76402-0421-03

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