Fomin Mini Hand Sanitizer Wipes - 6 - Variety Pack Kit
NDC Package 85755-004-06

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

Package Information

Fomin Mini Hand Sanitizer Wipes - 6 - Variety Pack (benzalkonium chloride) kits is • Open packet and wipe hands thoroughly for at least 15 seconds. This formulation utilizes a kit delivery system. Marketed by Fomin Llc, this product is identified by NDC 85755-004.

Identification & Billing

NDC Package Code
85755-004-06
Package Description
1 KIT in 1 BOX * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGE * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGE * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGE
Product Code
85755-004
11-Digit Billing Format
85755000406
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Fomin Mini Hand Sanitizer Wipes - 6 - Variety Pack
Non-Proprietary Name
Benzalkonium Chloride
Dosage Form
Kit - A packaged collection of related material.
Usage Information
• Open packet and wipe hands thoroughly for at least 15 seconds. Allow to dry without wiping.

Regulatory & Marketing

Labeler Name
Fomin Llc
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
06-20-2025
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 85755-004-06 identifies a specific commercial package of 1 kit in 1 box * 8 package in 1 packet / .0035 ml in 1 package * 8 package in 1 packet / .0035 ml in 1 package * 8 package in 1 packet / .0035 ml in 1 package of Fomin Mini Hand Sanitizer Wipes - 6 - Variety Pack, a human over the counter drug labeled by Fomin Llc. This kit is formulated for use and contains 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 Fomin Llc on June 20, 2025. The current certification is valid through December 31, 2026.

How is this Fomin Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 85755000406. 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)
85755-004-06
11-Digit CMS (5-4-2)
85755-0004-06

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