Proheal Povidone Iodine Prep Pads Cloth
NDC Package 86173-002-30

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

Proheal Povidone Iodine Prep Pads (povidone-iodine) cloths is • for preparation of the skin prior to surgery, clean the affected area, remove the pad, apply to the operative site prior to surgery • for use as a first aid antiseptic, clean the affected area, apply a small amount of this product on the area 1-3 times daily • may be covered with a sterile bandage • if bandaged, let dry first . This formulation utilizes a cloth delivery system. Marketed by Click Industries Llc, this product is identified by NDC 86173-002 and is authorized under FDA application M003.

Identification & Billing

NDC Package Code
86173-002-30
Package Description
30 PACKET in 1 BOX / 1 PACKAGE in 1 PACKET / .644 mL in 1 PACKAGE
Product Code
86173-002
11-Digit Billing Format
86173000230
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Proheal Povidone Iodine Prep Pads
Non-Proprietary Name
Povidone-iodine
Substance Name
Povidone-iodine
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)
POVIDONE-IODINE 1 g/100mL
Usage Information
• for preparation of the skin prior to surgery, clean the affected area, remove the pad, apply to the operative site prior to surgery • for use as a first aid antiseptic, clean the affected area, apply a small amount of this product on the area 1-3 times daily • may be covered with a sterile bandage • if bandaged, let dry first 

Regulatory & Marketing

Labeler Name
Click Industries Llc
Product Type
Human Otc Drug
FDA Application #
M003
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-19-2025
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 (86173-002). Click a package code to view its specific billing and regulatory data.

86173-002-12
120 PACKET in 1 BOX / 1 PACKAGE in 1 PACKET / .644 mL in 1 PACKAGE
86173-002-60
60 PACKET in 1 BOX / 1 PACKAGE in 1 PACKET / .644 mL in 1 PACKAGE

* 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 86173-002-30 identifies a specific commercial package of 30 packet in 1 box / 1 package in 1 packet / .644 ml in 1 package of Proheal Povidone Iodine Prep Pads, a human over the counter drug labeled by Click Industries Llc. This cloth is formulated for topical use and contains povidone-iodine 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 Click Industries Llc on December 19, 2025. The current certification is valid through December 31, 2026.

How is this Click Industries Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 86173000230. 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)
86173-002-30
11-Digit CMS (5-4-2)
86173-0002-30

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