Over-the-counter drug · OTC MONOGRAPH DRUG

Benzethonium chloride Plus Dyclonine hydrochloride (Liquid bandage) NDC 30142-150

Benzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mL · Liquid · Topical · Kroger Co.

NDC codes

FDA NDC Directory
Product NDC (as listed)30142-150Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0150Add 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
30142-150-0330142015003301420150039 mL in 1 BOTTLE, WITH APPLICATOR (30142-150-03)Marketed from Dec 6, 2017

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

Generic name (nonproprietary)
liquid bandage
Active ingredients
Benzethonium chloride — .2 mg/9mLDyclonine hydrochloride — .75 mg/9mL
Dosage form
Liquid
Route
Topical
Labeler
Kroger Co.NDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 003
Marketing start
Listing expires
Identifiers
Product ID 30142-150_59801a2e-e354-dbfc-e063-6394a90a3181SPL ID 59801a2e-e354-dbfc-e063-6394a90a3181SPL set ID fe604470-917f-4cbd-a1e6-ac1dc7c57ff6UNII PH41D05744, ZEC193879QUPC 0041260361340

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

N430142015003 followed by a unit qualifier and the quantity

Package 30142-0150-03. 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)

Uses first aid to help prevent infection in minor cuts, scrapes, and burns first aid for the temporary relief of pain in minor cuts, scrapes, and burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 30142-150

What is NDC 30142-150?
30142-150 is the product NDC for Benzethonium chloride Plus Dyclonine hydrochloride, Benzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mL liquid, listed with the FDA by Kroger Co.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Benzethonium chloride Plus Dyclonine hydrochloride (Liquid Bandage).
What is the active ingredient?
Benzethonium chloride, Dyclonine hydrochloride.
Who is the labeler?
Kroger Co., NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Benzethonium chloride Plus Dyclonine hydrochloride?
11 other product NDCs are listed under this name. See all Benzethonium chloride Plus Dyclonine hydrochloride NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Benzethonium chloride Plus Dyclonine hydrochloride NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride 2 mg/mL; Dyclonine hydrochloride 7.5 mg/mLLiquidTopicalHudson Health LLC72446-10072446-0100-01
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalRite Aid Corporation11822-012811822-0128-09
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalHEB37808-51237808-0512-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalAmerisourceBergen Drug Corporation46122-52546122-0525-23
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalFoodhold USA41520-08941520-0089-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalChain Drug Marketing Association63868-04563868-0045-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalVALU MERCHANDISERS, CO63941-54663941-0546-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalTopco Associates LLC36800-38236800-0382-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/10mL; Dyclonine hydrochloride .75 mg/10mLLiquidTopicalCVS Pharmacy59779-38559779-0385-03
Benzethonium chloride Plus Dyclonine hydrochlorideliquid bandageBenzethonium chloride .2 mg/9mL; Dyclonine hydrochloride .75 mg/9mLLiquidTopicalHarris Teeter, LLC69256-03769256-0037-03

All 12 Benzethonium chloride Plus Dyclonine hydrochloride NDCs

Other NDCs under M 003

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

FDA NDC Directory listings under M 003
ProductStrengthForm · routeLabelerProduct NDC
AntisepticethanolAlcohol .62 mL/mLGelTopicalMcKesson68599-5322
Hand sanitizer 16.9oz with vitamin Eethyl alcohol 70%Alcohol 70 mL/100mLLiquidTopicalZhejiang Guoyao Jingyue Aerosol Co., Ltd.75742-021
Mistify Pina Colada Hand Sanitezeralcohol antisepticAlcohol 62 mL/100mLLiquidTopicalKingkey MBC Life Technology Group Co.,Ltd73928-178
Solar Flare Hand Sanitizer Sunset SambaalcoholAlcohol 62 mL/100mLSprayTopicalScent Theory Products LLC76891-153
Klean Freakbenzalkonium chlorideBenzalkonium chloride .13 g/100gClothTopicalKLEAN FREAK, LLC78982-005
Guardellebenzalkonium chlorideBenzalkonium chloride .13 g/100mLAerosol, FoamTopicalSocial Medical Supply LLC85754-000
RITE AID Maximum strength pain relievingbenzalkonium chloride and lidocaine hydrochlorideBenzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mLLiquidTopicalRITE AID11822-7220
Hand SanitizerAlcohol 70 mL/100mLGelExtracorporealZhejiang Meimi Technology Co., Ltd.41366-055
Smart Care Cucumber Melon Hand SanitizeralcoholAlcohol 70 mL/100mLSprayTopicalShenzhen Lantern Scicence Co.,Ltd.54860-509
Walgreen Maximum strength pain relieving cleansingbenzalkonium chloride and lidocaine hydrochlorideBenzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mLLiquidTopicalWALGREENS CO.0363-7020
American Red Cross 70% Ethyl Alcohol Hand Sanitizerethyl alcoholAlcohol 70 mL/100mLGelTopicalZhejiang Guoyao Jingyue Aerosol Co., Ltd75742-018
Thompson Burn Cream with Lidocainebenzalkonium chloride, lidocaineLidocaine hydrochloride 5 mg/g; Benzalkonium chloride 1.3 mg/gCreamTopicalThompson Safety73408-160
Scentfull Hand Sanitizer Whipped CoconutalcoholAlcohol 62 mL/100mLSprayTopicalScent Theory Products LLC76891-150
Klean Freakbenzalkonium chlorideBenzalkonium chloride .13 g/100gClothTopicalKLEAN FREAK, LLC78982-002
Hand Sanitizeralcohol 62%Alcohol .62 g/gGelTopicalGuangzhou Ailizhuangsi Cosmetics Co., Ltd.87910-009
Obstetrical Towelettebenzalkonium chlorideBenzalkonium chloride 1.3 mg/gClothTopicalJianerkang Medical Co., Ltd34645-0015
Hand SanitizerAlcohol 70 mL/100mLGelExtracorporealZhejiang Meimi Technology Co., Ltd.41366-052
Ashley Belle 1 oz., Moisturizing Hand Sanitizing, Hibiscus Nectarethyl alcoholAlcohol 70 mL/100mLSprayTopicalMY IMPORTS USA LLC51628-4563
Soft Touch Plus Antibacterial Hand Item 1039chloroxylenolChloroxylenol .3 g/100mLSoapTopicalAMERICAN CHEMICAL AND SANITARY SUPPLY INC50536-139
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalPerrigo Direct, Inc50804-871

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