Over-the-counter drug · OTC MONOGRAPH DRUG

Hydrogen Peroxide (1169 hydrogen peroxide spray) NDC 67777-015

Hydrogen peroxide .03 mg/mL · Spray · Topical · Dynarex Corporation

NDC codes

FDA NDC Directory
Product NDC (as listed)67777-015Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0015Add 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
67777-015-0567777001505677770015051000 PACKET in 1 CASE (67777-015-05) / 29.6 mL in 1 PACKET (67777-015-06)Marketed from Feb 29, 2024
67777-015-07677770015076777700150724 BOTTLE, SPRAY in 1 CASE (67777-015-07) / 59.1 mL in 1 BOTTLE, SPRAY (67777-015-08)Marketed from Feb 29, 2024

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)
Hydrogen Peroxide
Generic name (nonproprietary)
1169 hydrogen peroxide spray
Active ingredients
Hydrogen peroxide — .03 mg/mL
Dosage form
Spray
Route
Topical
Labeler
Dynarex CorporationNDC labeler code 67777
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 003
Marketing start
Listing expires
Identifiers
Product ID 67777-015_43f6590a-bb4b-7e5a-e063-6394a90af638SPL ID 43f6590a-bb4b-7e5a-e063-6394a90af638SPL set ID 11854afb-db97-5a43-e063-6394a90aa39cUNII BBX060AN9VUPC 0840117332775

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

N467777001505 followed by a unit qualifier and the quantity

Package 67777-0015-05. 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 decrease the risk of skin infection 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 67777-015

What is NDC 67777-015?
67777-015 is the product NDC for Hydrogen Peroxide (1169 hydrogen peroxide spray), Hydrogen peroxide .03 mg/mL spray, listed with the FDA by Dynarex Corporation. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Hydrogen Peroxide (1169 Hydrogen Peroxide Spray).
What is the active ingredient?
Hydrogen peroxide.
Who is the labeler?
Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Hydrogen Peroxide?
64 other product NDCs are listed under this name. See all Hydrogen Peroxide 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 Hydrogen Peroxide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalUpLift Brands, LLC83986-87183986-0871-72
Hydrogen PeroxideHydrogen peroxide 3 mL/100mLLiquidTopicalP & L Development, LLC49580-040049580-0400-03
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalHy-Vee, Inc.42507-81742507-0817-4342507-0817-45
Hydrogen PeroxideHydrogen peroxide 3 mL/100mLLiquidTopical4 Visions LLC87251-00487251-0004-16
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalGrocery Outlet, Inc.85828-87185828-0871-45
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSprayTopicalHART Health50332-022950332-0229-02
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalJianerkang Medical Co., Ltd34645-002734645-0027-01
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSprayTopicalWildman Business Group84269-350384269-3503-01
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalChain Drug Marketing Association83324-17683324-0176-1083324-0176-1683324-0176-32
Hydrogen PeroxideHydrogen peroxide 2.65 mL/100mLLiquidTopicalAmerisourceBergen (Good Neighbor Pharmacy) 4612246122-77346122-0773-34

All 65 Hydrogen Peroxide 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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