NDC codes

FDA NDC Directory
Product NDC (as listed)85755-004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width85755-0004Add 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
85755-004-06857550004061 KIT in 1 BOX (85755-004-06) * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGE * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGE * 8 PACKAGE in 1 PACKET / .0035 mL in 1 PACKAGEMarketed from Jun 20, 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

Generic name (nonproprietary)
benzalkonium chloride
Dosage form
Kit
Labeler
Fomin LLCNDC labeler code 85755
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 85755-004_59b7d9a7-3a9e-4490-921a-c4b951aa5243SPL ID 59b7d9a7-3a9e-4490-921a-c4b951aa5243SPL set ID 67cd09d6-059b-4769-b573-b6c8b5120d9aRxCUI 1038856

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N485755000406 followed by a unit qualifier and the quantity

Package 85755-0004-06. 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)

Use: • For handwashing 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 85755-004

What is NDC 85755-004?
85755-004 is the product NDC for fomin mini Hand Sanitizer Wipes - 6 - VARIETY PACK kit, listed with the FDA by Fomin LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
fomin mini Hand Sanitizer Wipes - 6 - VARIETY PACK (Benzalkonium Chloride).
Who is the labeler?
Fomin LLC, NDC labeler code 85755. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for fomin mini Hand Sanitizer Wipes - 6 - VARIETY PACK?
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.

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