Hygiene Clean Vanilla Sugar Hand Sanitizer On The Go And Car Safe Liquid
NDC Package 80499-030-01

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

Package Information

Hygiene Clean Vanilla Sugar Hand Sanitizer On The Go And Car Safe (benzalkonium chloride) liquids 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. This formulation utilizes a liquid delivery system. Marketed by Usa Broom Llc, this product is identified by NDC 80499-030 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
80499-030-01
Package Description
50 mL in 1 BOTTLE, PLASTIC
Product Code
80499-030
11-Digit Billing Format
80499003001
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Hygiene Clean Vanilla Sugar Hand Sanitizer On The Go And Car Safe
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 1.3 mg/mL
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
Usa Broom Llc
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-28-2021
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (80499-030). Click a package code to view its specific billing and regulatory data.

80499-030-02
24 BOTTLE, PLASTIC in 1 BOX / 50 mL in 1 BOTTLE, PLASTIC

* 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 80499-030-01 identifies a specific commercial package of 50 ml in 1 bottle, plastic of Hygiene Clean Vanilla Sugar Hand Sanitizer On The Go And Car Safe, a human over the counter drug labeled by Usa Broom Llc. 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 Usa Broom Llc on February 28, 2021. The current certification is valid through December 31, 2026.

How is this Usa Broom Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 80499003001. 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)
80499-030-01
11-Digit CMS (5-4-2)
80499-0030-01

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