NDC codes

FDA NDC Directory
Product NDC (as listed)42939-128Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42939-0128Add 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
42939-128-2442939012824208000 mL in 1 DRUM (42939-128-24)Marketed from Jul 22, 1986
42939-128-25429390128251134000 mL in 1 CONTAINER (42939-128-25)Marketed from Jul 22, 1986

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)
Scrub, Scrub-Stat, Foam Safe, Micro-Guard
Generic name (nonproprietary)
chlorhexidine gluconate
Active ingredients
Chlorhexidine gluconate — 40 mg/mL
Dosage form
Solution
Route
Topical
Labeler
AVA, Inc.
Product type
Over-the-counter drug
Marketing category
NDA — New Drug ApplicationApplication NDA 019258
Marketing start
Listing expires
Other FDA classes
Decreased Cell Wall Integrity (Physiologic effect)
Identifiers
Product ID 42939-128_f0b8bb15-60ab-571d-e053-2a95a90a3d8cSPL ID f0b8bb15-60ab-571d-e053-2a95a90a3d8cSPL set ID 9dc6d545-f831-9692-e053-2995a90adec5RxCUI 211365UNII 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

N442939012824 followed by a unit qualifier and the quantity

Package 42939-0128-24. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

Other NDCs under NDA 019258

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

FDA NDC Directory listings under NDA 019258
ProductStrengthForm · routeLabelerProduct NDC
Maxiclens Chlorhexidine Gluconate Liquid Solution, 4%chlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalHenry Schein, Inc.0404-0221
Maxiclens Chlorhexidine Gluconate Liquid Solution, 4%chlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalHenry Schein, Inc.0404-0219
Maxiclens Chlorhexidine Gluconate Liquid Solution, 4%chlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalHenry Schein, Inc.0404-0220
Scrub-Statchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalEcolab Inc.47593-468
Scrub-Statchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalEcolab Inc.47593-467
Halyard Chlorhexidine Gluconatechlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalOwens & Minor, Inc.39892-0960
Halyard Chlorhexidine Gluconatechlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalOwens & Minor, Inc.39892-0961
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalAVA, Inc.42939-125
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalAVA, Inc.42939-124
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalAVA, Inc.42939-124
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalAVA, Inc.42939-124
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalAVA, Inc.42939-127
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalAVA, Inc.42939-125
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalAVA, Inc.42939-125
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalAVA, Inc.42939-125
Scrub, Scrub-Stat, Foam Safe, Micro-Guardchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalAVA, Inc.42939-127
Scrub-Statchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLSolutionTopicalEcolab Inc.47593-463
Scrub-Statchlorhexidine gluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalEcolab Inc.47593-464
Chlorhexidine GluconateChlorhexidine gluconate 40 mg/mLSolutionTopicalRising Pharma Holdings, Inc.16571-111
Bactoshield CHGchlorhexidine gluconateChlorhexidine gluconate 20 mg/mLLiquidTopicalSC Johnson Professional USA, Inc.11084-126

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