Janitex Alcohol Wet Wipes 70%
NDC Package 79519-030-01

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.

Janitex Alcohol Wet Wipes 70% is • Lift the tab on the top of the lid to open.• Open moisture seal film package before use.• Pull out first wipe through the dispensing center of the canister. Marketed by Pacific Health Systems Inc., this product is identified by NDC 79519-030 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
79519-030-01
Package Description
40 PACKAGE in 1 PACKET / 3 mL in 1 PACKAGE
Product Code
79519-030
11-Digit Billing Format
79519003001

Clinical Specifications

Proprietary Name
Janitex Alcohol Wet Wipes 70%
Dosage Form
-
Usage Information
• Lift the tab on the top of the lid to open.• Open moisture seal film package before use.• Pull out first wipe through the dispensing center of the canister. Next sheets pops up automatically• Close the lid to retain moisture.• Wipe dean with this product. Let air dry

Regulatory & Marketing

Labeler Name
Pacific Health Systems Inc.
FDA Application #
part333A
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
08-19-2020
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 79519-030-01 identifies a specific commercial package of 40 package in 1 packet / 3 ml in 1 package of Janitex Alcohol Wet Wipes 70%, labeled by Pacific Health Systems 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 Pacific Health Systems Inc. on August 19, 2020. The current certification is valid through December 31, 2021.

How is this Pacific Health Systems Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79519003001. 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)
79519-030-01
11-Digit CMS (5-4-2)
79519-0030-01

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