Servo Stat Bac Liquid
NDC Package 78041-0023-1

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

Package Information

Servo Stat Bac (benzalkonium chloride) liquids is uSE FOR HAND-WASHING TO DECREASE BACTERIA ON THE SKINIf hands are visibly soiled, use regular soap and water Recommended for repeated use. This formulation utilizes a liquid delivery system. Marketed by Fusion Chemcial, this product is identified by NDC 78041-0023 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
78041-0023-1
Package Description
3875 mL in 1 BOTTLE
Product Code
78041-0023
11-Digit Billing Format
78041002301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Servo Stat Bac
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 1 mg/mL
Usage Information
USE FOR HAND-WASHING TO DECREASE BACTERIA ON THE SKINIf hands are visibly soiled, use regular soap and water Recommended for repeated use

Regulatory & Marketing

Labeler Name
Fusion Chemcial
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-01-2020
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 78041-0023-1 identifies a specific commercial package of 3875 ml in 1 bottle of Servo Stat Bac, a human over the counter drug labeled by Fusion Chemcial. 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 Fusion Chemcial on July 01, 2020. The current certification is valid through December 31, 2026.

How is this Fusion Chemcial product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 78041002301. 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 (5-4-1)
78041-0023-1
11-Digit CMS (5-4-2)
78041-0023-01

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