Pentacleanse Alcohol Wipes Cloth
NDC Package 82901-002-02

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

Package Information

Pentacleanse Alcohol Wipes (alcohol) cloths is for hand sanitizing to decrease bacteria on the skin.This product is used as. This formulation utilizes a cloth delivery system. Marketed by Prestige Care Pharmacy Inc, this product is identified by NDC 82901-002 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
82901-002-02
Package Description
60 PATCH in 1 PACKET / 4.32 mL in 1 PATCH
Product Code
82901-002
11-Digit Billing Format
82901000202
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pentacleanse Alcohol Wipes
Non-Proprietary Name
Alcohol
Substance Name
Alcohol
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
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)
ALCOHOL 75 mL/100mL
Usage Information
For hand sanitizing to decrease bacteria on the skin.This product is used as . Antiseptic

Regulatory & Marketing

Labeler Name
Prestige Care Pharmacy Inc
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-14-2022
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 82901-002-02 identifies a specific commercial package of 60 patch in 1 packet / 4.32 ml in 1 patch of Pentacleanse Alcohol Wipes, a human over the counter drug labeled by Prestige Care Pharmacy Inc. This cloth is formulated for topical use and contains alcohol 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 Prestige Care Pharmacy Inc on September 14, 2022. The current certification is valid through December 31, 2026.

How is this Prestige Care Pharmacy Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 82901000202. 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)
82901-002-02
11-Digit CMS (5-4-2)
82901-0002-02

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