Over-the-counter drug · OTC MONOGRAPH DRUG
RevitaDERM Wound Care (Benzalkonium chloride) NDC 63347-120
Benzalkonium chloride 170 mg/89mL · Gel · Topical · Blaine Labs Inc.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 63347-120-01 | 6334701200163347012001 | 89 mL in 1 TUBE (63347-120-01)Marketed from May 24, 2012 |
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)
- RevitaDERM Wound Care
- Generic name (nonproprietary)
- benzalkonium chloride
- Active ingredients
- Benzalkonium chloride — 170 mg/89mL
- Dosage form
- Gel
- Route
- Topical
- Labeler
- Blaine Labs Inc.NDC labeler code 63347
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 003
- Marketing start
- Listing expires
- Identifiers
- Product ID 63347-120_69b73949-a7e7-4e85-911e-ae688d658bbfSPL ID 69b73949-a7e7-4e85-911e-ae688d658bbfSPL set ID 9254dada-4e32-43a0-892b-c488d68e23e7RxCUI 1049228, 1310820UNII F5UM2KM3W7
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
N463347012001followed by a unit qualifier and the quantityPackage 63347-0120-01. 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 Uses * 1st and 2nd Degree Burns * Stasis Ulcers * Pressure Ulcers * Diabetic Ulcers * Lacerations * Abrasions * Skin Tears * Surgical Incision Sites * Device Insertion Sites * Graft Sites * Donor Sites
Excerpt only. Read the full label for complete information.
About NDC 63347-120
- What is NDC 63347-120?
- 63347-120 is the product NDC for RevitaDERM Wound Care (benzalkonium chloride), Benzalkonium chloride 170 mg/89mL gel, listed with the FDA by Blaine Labs Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- RevitaDERM Wound Care (Benzalkonium chloride).
- What is the active ingredient?
- Benzalkonium chloride.
- Who is the labeler?
- Blaine Labs Inc., NDC labeler code 63347. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for RevitaDERM Wound Care?
- None: this is the only finished product listed under this name.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Other NDCs under M 003
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
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| Hand sanitizer 16.9oz with vitamin Eethyl alcohol 70% | Alcohol 70 mL/100mL | LiquidTopical | Zhejiang Guoyao Jingyue Aerosol Co., Ltd. | 75742-021 |
| Mistify Pina Colada Hand Sanitezeralcohol antiseptic | Alcohol 62 mL/100mL | LiquidTopical | Kingkey MBC Life Technology Group Co.,Ltd | 73928-178 |
| Solar Flare Hand Sanitizer Sunset Sambaalcohol | Alcohol 62 mL/100mL | SprayTopical | Scent Theory Products LLC | 76891-153 |
| Klean Freakbenzalkonium chloride | Benzalkonium chloride .13 g/100g | ClothTopical | KLEAN FREAK, LLC | 78982-005 |
| Guardellebenzalkonium chloride | Benzalkonium chloride .13 g/100mL | Aerosol, FoamTopical | Social Medical Supply LLC | 85754-000 |
| RITE AID Maximum strength pain relievingbenzalkonium chloride and lidocaine hydrochloride | Benzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mL | LiquidTopical | RITE AID | 11822-7220 |
| Hand Sanitizer | Alcohol 70 mL/100mL | GelExtracorporeal | Zhejiang Meimi Technology Co., Ltd. | 41366-055 |
| Smart Care Cucumber Melon Hand Sanitizeralcohol | Alcohol 70 mL/100mL | SprayTopical | Shenzhen Lantern Scicence Co.,Ltd. | 54860-509 |
| Walgreen Maximum strength pain relieving cleansingbenzalkonium chloride and lidocaine hydrochloride | Benzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mL | LiquidTopical | WALGREENS CO. | 0363-7020 |
| American Red Cross 70% Ethyl Alcohol Hand Sanitizerethyl alcohol | Alcohol 70 mL/100mL | GelTopical | Zhejiang Guoyao Jingyue Aerosol Co., Ltd | 75742-018 |
| Thompson Burn Cream with Lidocainebenzalkonium chloride, lidocaine | Lidocaine hydrochloride 5 mg/g; Benzalkonium chloride 1.3 mg/g | CreamTopical | Thompson Safety | 73408-160 |
| Scentfull Hand Sanitizer Whipped Coconutalcohol | Alcohol 62 mL/100mL | SprayTopical | Scent Theory Products LLC | 76891-150 |
| Klean Freakbenzalkonium chloride | Benzalkonium chloride .13 g/100g | ClothTopical | KLEAN FREAK, LLC | 78982-002 |
| Hand Sanitizeralcohol 62% | Alcohol .62 g/g | GelTopical | Guangzhou Ailizhuangsi Cosmetics Co., Ltd. | 87910-009 |
| Obstetrical Towelettebenzalkonium chloride | Benzalkonium chloride 1.3 mg/g | ClothTopical | Jianerkang Medical Co., Ltd | 34645-0015 |
| Hand Sanitizer | Alcohol 70 mL/100mL | GelExtracorporeal | Zhejiang Meimi Technology Co., Ltd. | 41366-052 |
| Ashley Belle 1 oz., Moisturizing Hand Sanitizing, Hibiscus Nectarethyl alcohol | Alcohol 70 mL/100mL | SprayTopical | MY IMPORTS USA LLC | 51628-4563 |
| Soft Touch Plus Antibacterial Hand Item 1039chloroxylenol | Chloroxylenol .3 g/100mL | SoapTopical | AMERICAN CHEMICAL AND SANITARY SUPPLY INC | 50536-139 |
| Hydrogen Peroxide | Hydrogen peroxide 30 mg/mL | SolutionTopical | Perrigo Direct, Inc | 50804-871 |
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