NDC codes

FDA NDC Directory
Product NDC (as listed)77665-001Labeler and product segments. Claims need a package NDC.
Product NDC at billing width77665-0001Add 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
77665-001-027766500010260 PACKET in 1 PACKET (77665-001-02) / 100 mg in 1 PACKET (77665-001-01)Marketed from Apr 1, 2025
77665-001-047766500010430 PACKET in 1 PACKET (77665-001-04) / 100 mg in 1 PACKET (77665-001-03)Marketed from Apr 1, 2025
77665-001-067766500010610 PACKET in 1 PACKET (77665-001-06) / 100 mg in 1 PACKET (77665-001-05)Marketed from Apr 1, 2025

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)
bolor sanitizing hand wipes
Generic name (nonproprietary)
bolor sanitizing hand wipes
Active ingredients
Benzalkonium chloride — 12 mg/100mg
Dosage form
Solution
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 77665-001_3451ab76-6cc7-f269-e063-6294a90a4b92SPL ID 3451ab76-6cc7-f269-e063-6294a90a4b92SPL set ID 33dbe9e3-4335-ada1-e063-6294a90ad2f5UNII 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

N477665000102 followed by a unit qualifier and the quantity

Package 77665-0001-02. 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

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