NDC codes

FDA NDC Directory
Product NDC (as listed)21749-461Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21749-0461Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
21749-461-89217490461891200 mL in 1 BOTTLE (21749-461-89)Marketed from Dec 1, 2011

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Antiseptic Foam Handwash
Generic name (nonproprietary)
chlorhexidine gluconate 2% solution
Active ingredients
Chlorhexidine gluconate — 20 mg/mL
Dosage form
Liquid
Route
Topical
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019422
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 21749-461_74317b4d-3fc0-6fd5-e053-2a91aa0ab90fSPL ID 74317b4d-3fc0-6fd5-e053-2a91aa0ab90fSPL set ID 74317b4d-3fbf-6fd5-e053-2a91aa0ab90fRxCUI 1245230UNII MOR84MUD8E

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N421749046189 followed by a unit qualifier and the quantity

Package 21749-0461-89. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Indications Antiseptic cleanser kills harmful bacteria or germs. Dosage: This product should be used daily, as part of the daily cleansing routine Nettoyant antiseptique tue les bactéries ou les germes nocifs. Posologie: Utiliser par jour, dan le cadre du régime de nettoyage quotidien.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 019422

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under NDA 019422
ProductStrengthForm · routeLabelerProduct NDC
Antimicrobial Skin Cleanserchlorhexidine gluconate 2% solutionChlorhexidine gluconate 20 mg/mLLiquidTopicalGojo Industries, Inc.21749-106
Purell Antimicrobial Foamchlorhexidine gluconate 2% solutionChlorhexidine gluconate 20 mg/mLLiquidTopicalGOJO Industries, Inc.21749-225
Purell Antimicrobial Foamchlorhexidine gluconate 2% solutionChlorhexidine gluconate 20 mg/mLLiquidTopicalGOJO Industries, Inc.21749-225
Antimicrobial Foam Handwashchlorhexidine gluconate 2% solutionChlorhexidine gluconate 20 mg/mLLiquidTopicalGOJO Industries, Inc.21749-416
Dyna-Hex 2chlorhexidine gluconateChlorhexidine gluconate 2 g/100mLLiquidTopicalXttrium Laboratories, Inc.0116-1021
Dyna-Hex 2chlorhexidine gluconateChlorhexidine gluconate 2 g/100mLLiquidTopicalXttrium Laboratories, Inc.0116-1021
Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2%Chlorhexidine gluconate 20 mg/mLSolutionTopicalXttrium Laboratories, Inc.0116-8500
Dyna-Hex 2chlorhexidine gluconate 2%Chlorhexidine gluconate 20 mg/mLSolutionTopicalXttrium Laboratories, Inc.0116-1022
Dyna-Hex 2chlorhexidine gluconate 2%Chlorhexidine gluconate 20 mg/mLSolutionTopicalXttrium Laboratories, Inc.0116-1022
Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2%Chlorhexidine gluconate 20 mg/mLSolutionTopicalGojo Industries, Inc.21749-850
Provon Antimicrobial Foam Handwashchlorhexidine gluconate 2%Chlorhexidine gluconate 20 mg/mLSolutionTopicalGojo Industries, Inc.21749-850
Bactoshield CHG Chlorhexidine Gluconatechlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalSC Johnson Professional USA, Inc.11084-038
Bactoshield CHGchlorhexidine gluconate 2%Chlorhexidine gluconate 2 mg/100mLSolutionTopicalXttrium Laboratories, Inc.0116-0038
foaming hand washchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLLiquidTopicalMedline Industries, LP53329-994

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