Foaming Hand Sanitizer
NDC Package 79724-375-81

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.

Foaming Hand Sanitizer is • Pump a small amount of foam into palm of hand• Rub thoroughly over all surfaces of both hands• Rub hands together briskly until dry. Marketed by Specialty Water Resources, Llc, this product is identified by NDC 79724-375 and is authorized under FDA application part333A.

Identification & Billing

NDC Package Code
79724-375-81
Package Description
3780 mL in 1 BOTTLE
Product Code
79724-375
11-Digit Billing Format
79724037581

Clinical Specifications

Proprietary Name
Foaming Hand Sanitizer
Dosage Form
-
Usage Information
• Pump a small amount of foam into palm of hand• Rub thoroughly over all surfaces of both hands• Rub hands together briskly until dry

Regulatory & Marketing

Labeler Name
Specialty Water Resources, Llc
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
07-20-2020
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 79724-375-81 identifies a specific commercial package of 3780 ml in 1 bottle of Foaming Hand Sanitizer, labeled by Specialty Water Resources, 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 Specialty Water Resources, Llc on July 20, 2020. The current certification is valid through December 31, 2021.

How is this Specialty Water Resources, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 79724037581. 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)
79724-375-81
11-Digit CMS (5-4-2)
79724-0375-81

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