3% Hydrogen Peroxide Liquid
NDC Package 84809-005-01

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

3% Hydrogen Peroxide (hydrogen peroxide) liquids is clean the affected AreaApply Small amount of this product on the area 1-3 times dailyLet the alcohol dry on skin before using bandages.May be covered with a sterile bandag. This formulation utilizes a liquid delivery system. Marketed by Lj Pharma, this product is identified by NDC 84809-005 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
84809-005-01
Package Description
12 BOTTLE, SPRAY in 1 CARTON / 236 mL in 1 BOTTLE, SPRAY
Product Code
84809-005
11-Digit Billing Format
84809000501
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
3% Hydrogen Peroxide
Non-Proprietary Name
Hydrogen Peroxide
Substance Name
Hydrogen Peroxide
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)
HYDROGEN PEROXIDE 3 mL/100mL
Usage Information
Clean the affected AreaApply Small amount of this product on the area 1-3 times dailyLet the alcohol dry on skin before using bandages.May be covered with a sterile bandag.

Regulatory & Marketing

Labeler Name
Lj Pharma
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-30-2025
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 (84809-005). Click a package code to view its specific billing and regulatory data.

84809-005-02
12 BOTTLE, SPRAY in 1 CARTON / 473 mL in 1 BOTTLE, SPRAY
84809-005-03
12 BOTTLE, SPRAY in 1 CARTON / 946 mL in 1 BOTTLE, SPRAY

* 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 84809-005-01 identifies a specific commercial package of 12 bottle, spray in 1 carton / 236 ml in 1 bottle, spray of 3% Hydrogen Peroxide, a human over the counter drug labeled by Lj Pharma. This liquid is formulated for topical use and contains hydrogen peroxide 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 Lj Pharma on June 30, 2025. The current certification is valid through December 31, 2026.

How is this Lj Pharma product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84809000501. 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)
84809-005-01
11-Digit CMS (5-4-2)
84809-0005-01

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