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  5. NDC Package Code: 79903-485-30 Liquid Bandage

NDC Package 79903-485-30 Liquid Bandage

Benzethonium Chloride And Dyclonine Hydrochloride Liquid Topical - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
79903-485-30
Package Description:
29.6 mL in 1 BOTTLE, WITH APPLICATOR
Product Code:
79903-485
Proprietary Name:
Liquid Bandage
Non-Proprietary Name:
Benzethonium Chloride And Dyclonine Hydrochloride
Substance Name:
Benzethonium Chloride; Dyclonine Hydrochloride
Usage Information:
For adults and children 2 years of age and olderClean affected areaapply a small amount on the area 1-3 times dailylet drya second coating may be applied for extra protectionchildren under 2 years of age: consult a doctor
11-Digit NDC Billing Format:
79903048530
Product Type:
Human Otc Drug
Labeler Name:
Wal-mart Stores, Inc.
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(s):
  • 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):
  • BENZETHONIUM CHLORIDE .06 mg/29.6mL
  • DYCLONINE HYDROCHLORIDE .23 mg/29.6mL
    • Sample Package:
    No
    FDA Application Number:
    M003
    Marketing Category:
    OTC MONOGRAPH DRUG -
    Start Marketing Date:
    01-12-2012
    Listing Expiration Date:
    12-31-2025
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 79903-485-30?

    The NDC Packaged Code 79903-485-30 is assigned to a package of 29.6 ml in 1 bottle, with applicator of Liquid Bandage, a human over the counter drug labeled by Wal-mart Stores, Inc.. The product's dosage form is liquid and is administered via topical form.

    Is NDC 79903-485 included in the NDC Directory?

    Yes, Liquid Bandage with product code 79903-485 is active and included in the NDC Directory. The product was first marketed by Wal-mart Stores, Inc. on January 12, 2012 and its listing in the NDC Directory is set to expire on December 31, 2025 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 79903-485-30?

    The 11-digit format is 79903048530. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-279903-485-305-4-279903-0485-30