Lifeguard Multipurpose Antiseptic Alcohol Wipes
NDC Package 77879-003-01

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.

Lifeguard Multipurpose Antiseptic Alcohol Wipes is please close the lid after dispensing to maintain purity. Marketed by Bt Supplies West Inc, this product is identified by NDC 77879-003 and is authorized under FDA application part333E.

Identification & Billing

NDC Package Code
77879-003-01
Package Description
50 PATCH in 1 BAG / 2 mL in 1 PATCH
Product Code
77879-003
11-Digit Billing Format
77879000301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lifeguard Multipurpose Antiseptic Alcohol Wipes
Dosage Form
-
Usage Information
Please close the lid after dispensing to maintain purity. Alcohol by nature evaporates quickly.

Regulatory & Marketing

Labeler Name
Bt Supplies West Inc
FDA Application #
part333E
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
06-30-2020
Listing Expiration
12-31-2021
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 77879-003-01 identifies a specific commercial package of 50 patch in 1 bag / 2 ml in 1 patch of Lifeguard Multipurpose Antiseptic Alcohol Wipes, labeled by Bt Supplies West 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 Bt Supplies West Inc on June 30, 2020. The current certification is valid through December 31, 2021.

How is this Bt Supplies West Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 77879000301. 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)
77879-003-01
11-Digit CMS (5-4-2)
77879-0003-01

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