NDC codes

FDA NDC Directory
Product NDC (as listed)63347-120Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63347-0120Add 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
63347-120-01633470120016334701200189 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

N463347012001 followed by a unit qualifier and the quantity

Package 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.

Full label on DailyMed (opens in a new tab)

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.

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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