NDC codes

FDA NDC Directory
Product NDC (as listed)77617-002Labeler and product segments. Claims need a package NDC.
Product NDC at billing width77617-0002Add 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
77617-002-02776170002024 BOTTLE, PLASTIC in 1 BOX (77617-002-02) / 3.80564 kg in 1 BOTTLE, PLASTIC (77617-002-01)Marketed from Apr 15, 2018

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)
benzalkonium chloride
Active ingredients
Benzalkonium chloride — 13 kg/100kg
Dosage form
Liquid
Route
Topical
Labeler
MaintexNDC labeler code 77617
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M
Marketing start
Listing expires
Identifiers
Product ID 77617-002_b5076cff-1836-4873-b552-ec38eea80c45SPL ID b5076cff-1836-4873-b552-ec38eea80c45SPL set ID 53bd6860-dde3-4525-ba1b-50f69be09abcUNII F5UM2KM3W7UPC 0765294116881

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

N477617000202 followed by a unit qualifier and the quantity

Package 77617-0002-02. 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 For hand washing to decrease bacteria on the skin.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 77617-002

What is NDC 77617-002?
77617-002 is the product NDC for Premium Protection Antibacterial Hand, Benzalkonium chloride 13 kg/100kg liquid, listed with the FDA by Maintex. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Premium Protection Antibacterial Hand (Benzalkonium Chloride).
What is the active ingredient?
Benzalkonium chloride.
Who is the labeler?
Maintex, NDC labeler code 77617. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Premium Protection Antibacterial Hand?
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

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

FDA NDC Directory listings under M
ProductStrengthForm · routeLabelerProduct NDC
Ab 3000benzalkonium chlorideBenzalkonium chloride .13 kg/100kgLiquidTopicalChemco63039-1006
Adult Low Dose AspirinaspirinAspirin 81 mg/1Tablet, Delayed releaseOralPharbest Pharmaceuticals, Inc.16103-356
Alcoholisopropyl alcoholIsopropyl alcohol .7 g/gSwabTopicalHART Health50332-0046
Alcoholisopropyl alcoholIsopropyl alcohol 70 mL/100mLSprayTopicalNorMed50332-0213
Alcoholisopropyl alcoholIsopropyl alcohol 70 mL/100mLSprayTopicalNorMed50332-0223
Aluminum HydroxideAluminum hydroxide 320 mg/5mLLiquidOralATLANTIC BIOLOGICALS CORP.17856-0091
Antibacterial Handsoapbenzalkonium chlorideBenzalkonium chloride .13 g/.1LLiquidTopicalChemcor Chemical Corporation68041-604
Antibacterial Liquid Handbenzalkonium chlorideBenzalkonium chloride 13 kg/100kgLiquidTopicalMorgan Gallacher Inc. DBA Custom Chemical Formulators Inc.50241-317
Anua Zero-Cast Moisturizing Finish Sunscreen SPF 50avobenzone, homosalate, octisalate, octocryleneAvobenzone 30 mg/mL + 3 more ingredientsLotionTopicalENGLEWOOD LAB, INC.14268-169
AspirinAspirin 325 mg/1TabletOralHART Health50332-0139
Aspirin Low Dose Chewable OrangeaspirinAspirin 81 mg/1Tablet, ChewableOralATLANTIC BIOLOGICALS CORP.17856-6794
Bandagebenzocaine and benzethonium chlorideBenzethonium chloride 170 mg/85g; Benzocaine 2720 mg/85gAerosol, SprayTopicalHART Health50332-0218
Blood Clottingbenzethonium chloride and lidocaineLidocaine 3400 mg/85g; Benzethonium chloride 170 mg/85gAerosol, SprayTopicalHART Health50332-0217
Bonica EaseX Pain Relievingcamphor (synthetic), menthol, methyl salicylateCamphor (Synthetic) 31 mg/g + 2 more ingredientsPatchTopicalPlanet (Anhui) Pharmaceutical Co., Ltd.75568-036
Broncochem Cold And Flu Teaacetaminophen-phenylephrine hydrochloride-chlorpheniramine maleateAcetaminophen 500 mg/13g; Chlorpheniramine maleate 4 mg/13gGranule, For solutionOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-097
Broncochem Expectorant IIacetaminophen-chlorpheniramine maleate-dextromethorphan hbr-guaifenesin-phenylephrine hclAcetaminophen 325 mg/10mL + 3 more ingredientsSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-011
Broncochem Kids Cold And Fluacetaminophen-phenylephrine hcl-guaifenesinAcetaminophen 325 mg/10mL + 2 more ingredientsSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-109
Broncochem Maximum Coughdextromethorphan hbr-gyaifenesinDextromethorphan hydrobromide 20 mg/10mL; Guaifenesin 400 mg/10mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-100
Broncochem Maximum Cough Kidsdextromethorphan hbr-guaifenesinDextromethorphan hydrobromide 10 mg/15mL; Guaifenesin 100 mg/15mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-180
Broncochem Maximum Cough Nightdextromethorphan hbr-pyrilamine maleateDextromethorphan hydrobromide 15 mg/5mL; Pyrilamine maleate 6 mg/5mLSyrupOralLABORATORIO MAGNACHEM INTERNATIONAL SRL65131-035

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