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Scrub, Scrub-Stat, Foam Safe, Micro-Guard Chlorhexidine gluconate 20 mg/mL Solution, 236 mL — NDC 42939-0124-17 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

Scrub, Scrub-Stat, Foam Safe, Micro-Guard Chlorhexidine gluconate 20 mg/mL Solution, 236 mL — NDC 42939-124-17 (Billing 42939-0124-17)

by AVA, Inc. · 236 mL in 1 BOTTLE

This is a package of 236 mL of Scrub, Scrub-Stat, Foam Safe, Micro-Guard Chlorhexidine gluconate 20 mg/mL Solution from AVA, Inc., marketed since Jul 1986 and currently FDA-listed.

NDC 42939-0124-17
🏷️ FDA NDC (as labeled) 42939-124-17 billing pads the product segment with a zero
This package
Contains236 mL Pack sizes25 compare ↓
Product page 42939-0124-01 Also comes in: 30 ml 42939-124-13 59 ml 42939-124-20 59 ml 42939-124-14 118 ml 42939-124-21 118 ml 42939-124-01 118 ml 42939-124-15 236 ml 42939-124-22 236 ml 42939-124-16 473 ml 42939-124-18 540 ml 42939-124-02 750 ml 42939-124-03 750 ml 42939-124-04 800 ml 42939-124-05 946 ml 42939-124-19 946 ml 42939-124-06 946 ml 42939-124-07 1000 ml 42939-124-23 1000 ml 42939-124-08 1000 ml 42939-124-09 1250 ml 42939-124-10 1250 ml 42939-124-11 3785 ml 42939-124-12 208000 ml 42939-124-24 1134000 ml 42939-124-25
OTC Brand On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Oct 1, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

⚠️
Other active recalls for Chlorhexidine Gluconate (different manufacturers) — 1 · tap to view
These affect other manufacturers’ products for the same ingredient — not necessarily the exact NDC on this page.
Class II · Aug 18, 2026 — Cross Contamination with Other Products (Sage Products, LLC) · FDA recall D-0837-2026
Each entry is an official FDA enforcement report — look up any recall number in the FDA recall database ↗

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 42939-124-17
Product NDC 42939-124
11-digit billing NDC 42939012417
RxCUI 1245230
UNII MOR84MUD8E
Application # NDA019258
SPL Set ID 42b0a0a9-6c5e-45c7-e054-00144ff88e88
Physiologic effect Decreased Cell Wall Integrity
DEA schedule Non-controlled
Marketing category NDA
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1986-07-22
Route TOPICAL
Dosage form SOLUTION
Substance CHLORHEXIDINE GLUCONATE
Quick answers
  • RxCUI (RxNorm): 1245230
Why two NDCs? The FDA registers this code as 42939-124-17 — a 5-3-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the product segment → 42939-0124-17. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Antiinfectives and antiseptics for local oral treatment class.

Drug family (ATC) Antiinfectives and antiseptics for local oral treatment, Antiinfectives, Biguanides and amidines
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

📗 Our plain-language guide HelloPharmacist
  • It treats gingivitis, which means red, swollen gums that may bleed. You use it between dental visits as part of a program with your dentist. It has not been tested in people with A...
  • It can. Staining of teeth and other mouth surfaces is one of the most common side effects. You may also notice more tartar and changes in taste. Your dentist should remove tartar a...
  • Anyone allergic to chlorhexidine gluconate or any ingredient in the product should avoid it. Serious allergic reactions, including anaphylaxis, have been reported with dental produ...
  • Keep it out of reach of children. A small child who swallows 1 or 2 ounces may have stomach upset, nausea or signs of alcohol intoxication. Get medical help if more than 4 ounces i...
📖 Read our full Chlorhexidine guide →

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer mLPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data.
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
ℹ️
No price is published for this exact package yet. CMS surveys NADAC per package size, so a different pack of the same drug often has one.
Try another pack size: 30 ml 59 ml 59 ml 118 ml 118 ml 118 ml 236 ml 236 ml 473 ml 540 ml 750 ml 750 ml 800 ml 946 ml 946 ml 946 ml 1000 ml 1000 ml 1000 ml 1250 ml 1250 ml 3785 ml 208000 ml 1134000 ml
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
42939-0124-19 42939-124-19 946 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-20 42939-124-20 59 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-21 42939-124-21 118 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-22 42939-124-22 236 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-23 42939-124-23 1000 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-01 42939-124-01 Main listing 118 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-02 42939-124-02 540 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-03 42939-124-03 750 mL in 1 BOTTLE, PUMP 1986-07-22 — Active
42939-0124-04 42939-124-04 750 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-05 42939-124-05 800 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-06 42939-124-06 946 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-07 42939-124-07 946 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-08 42939-124-08 1000 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-09 42939-124-09 1000 mL in 1 POUCH 1986-07-22 — Active
42939-0124-10 42939-124-10 1250 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-11 42939-124-11 1250 mL in 1 BOTTLE, PUMP 1986-07-22 — Active
42939-0124-12 42939-124-12 3785 mL in 1 BOTTLE, PLASTIC 1986-07-22 — Active
42939-0124-13 42939-124-13 30 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-14 42939-124-14 59 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-15 42939-124-15 118 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-16 42939-124-16 236 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-17 You're viewing this 236 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-18 42939-124-18 473 mL in 1 BOTTLE 1986-07-22 — Active
42939-0124-24 42939-124-24 208000 mL in 1 DRUM 1986-07-22 — Active
42939-0124-25 42939-124-25 1134000 mL in 1 CONTAINER 1986-07-22 — Active

Pack size FAQ

What quantity is in this package?
This package contains 236 mL — 236 ml in 1 bottle.
How does this package differ from NDC 42939-0124-13?
Both are Scrub, Scrub-Stat, Foam Safe, Micro-Guard Chlorhexidine gluconate 20 mg/mL Solution — the drug itself is identical. This page's package is the 236 mL one, while NDC 42939-0124-13 is the 30 ml package.
What NDC number is used to bill for this package of Scrub, Scrub-Stat, Foam Safe, Micro-Guard Chlorhexidine gluconate 20 mg/mL Solution?
Use the 11-digit billing form listed in the identifiers section of this page. Pharmacy and medical claims use the 11-digit form; the FDA label may print a shorter form of the same code.

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Dyna-Hex 2 2 g/100mL 00116-1021-01 Xttrium 15142 ml — — Discontinued —
Dyna-Hex 2 20 mg/mL 00116-1022-18 Xttrium 535 ml — — FDA listed —
Provon Antimicrobial Foam Handwash 20 mg/mL 00116-8500-89 Xttrium 1200 ml — — FDA listed —
Bactoshield CHG Chlorhexidine Gluconate 20 mg/mL 11084-0038-03 SC 118 ml — — FDA listed —
Bactoshield CHG 20 mg/mL 11084-0126-03 SC 118 ml — — FDA listed —
Antimicrobial Skin Cleanser 20 mg/mL 21749-0106-32 Gojo 946 ml — — FDA listed —
Purell Antimicrobial Foam 20 mg/mL 21749-0225-53 GOJO 535 ml — — FDA listed —
Antimicrobial Foam Handwash 20 mg/mL 21749-0416-89 GOJO 1200 ml — — FDA listed —
Antiseptic Foam Handwash 20 mg/mL 21749-0461-89 GOJO 1200 ml — — FDA listed —
Provon Antimicrobial Foam Handwash 20 mg/mL 21749-0850-53 Gojo 535 ml — — FDA listed —
Scrub, Scrub-Stat, Foam Safe, Micro-Guard 20 mg/mLthis 42939-0124-17 AVA, 236 ml — — FDA listed —
Scrub, Scrub-Stat, Foam Safe, Micro-Guard 20 mg/mL 42939-0127-01 AVA, 118 ml — — FDA listed —
Scrub-Stat 20 mg/mL 47593-0463-11 Ecolab 3780 ml — — FDA listed —
Scrub-Stat 20 mg/mL 47593-0467-21 Ecolab 208000 ml — — Discontinued —
foaming hand wash 20 mg/mL 53329-0994-84 Medline 1000 ml — — FDA listed —
About this product: this is the brand-name version. Some generic versions are approved by the FDA, but we could not confirm current pharmacy availability from our pricing/market data.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
1986
On the market since
Jul 1986
📍
2026
Currently FDA-listed
40 years listed
🔒
·
Generic approved (availability unconfirmed)
see note
🔒Generic approved by FDA, but pharmacy availability is not confirmed

The FDA lists approved generic versions of this medicine, but that does not always mean a pharmacy can get one today. Patent rules, launch agreements, supply and pricing can affect when generics actually arrive.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.

  • UNII QWA2IZI6FI
    A surfactant derived from coconut oil, cocamine oxide helps reduce surface tension and improves how ingredients mix together in liquid formulations, enhancing product stability and texture.
  • UNII 92005F972D
    A foaming and thickening agent derived from coconut oil. It's used in liquid medicines to improve texture, help distribute active ingredients evenly, and create a pleasant consistency for easier swallowing or application.
  • UNII R4R8J0Q44B
    Gluconic acid is an organic acid derived from glucose. It functions as a buffer and pH adjuster in medicines, helping maintain the product's acidity or alkalinity for stability and proper absorption.
  • UNII WQ29KQ9POT
    Gluconolactone is a mild organic acid derived from glucose. It functions as a buffer and pH regulator in medicines, helping maintain stable acidity levels and improve product stability.
  • UNII ND2M416302
    Isopropyl alcohol is a clear liquid solvent derived from petroleum. In medicines, it dissolves active ingredients and other components, helps the product flow smoothly, and aids in sterilization during manufacturing.
  • UNII 6F36Q0I0AC
    PEG-150 distearate is a waxy substance made by combining polyethylene glycol with stearic acid. It acts as an emulsifier and surfactant to help blend water and oil-based ingredients, and may also function as a thickener or lubricant in the formulation.
  • UNII 09179OX7TB
    PEG-75 Lanolin is a waxy substance derived from sheep's wool that has been chemically modified to mix easily with water and oil. It acts as an emulsifier and moisturizer in topical formulations, helping blend different ingredients and soften the skin.
  • UNII 6DC9Q167V3
    Propylene glycol is a clear liquid derived from petroleum or vegetable sources. It acts as a solvent, humectant, and preservative in medicines, helping dissolve active ingredients and maintain product stability.
  • UNII XPS4174QZJ
    A synthetic compound used as an antimicrobial preservative in topical medicines and personal care products. It helps prevent bacterial and fungal growth, extending the product's shelf life.
  • UNII 059QF0KO0R
    Water is a liquid solvent that dissolves and mixes ingredients together in liquid medicines, syrups, and injections. It helps distribute the active drug evenly throughout the product.

10 inactive ingredients listed in the exact product block matched to this NDC.

The official label also statescocamide DEA, cocamine oxide, fragrance, gluconic acid*, gluconolactone*, isopropyl alcohol 4%, PEG-75 lanolin, PEG-150 distearate, propylene glycol, quaternium-60, water *contains one or more of these ingredients

Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.

Where does this data come from?
Data sourced from official FDA Structured Product Labeling (SPL) via DailyMed — ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerAVA, Inc.
Application holderECOLAB INC
FDA applicationNDA019258 (NDA)
Labeler code42939
First marketedJul 1986
Product typeHuman Otc Drug
Portfolio5 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Do Not Use 📄 Ask a Doctor Before Use If 📄 When Using This Product 📄 Keep Out of Reach of Children 📄 Questions or Comments 📚 References 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 45 words ▾

Uses surgical hand scrub: significantly reduces the number of microorganisms on the hands and forearms prior to surgery or patient care healthcare personnel handwash: handwash to help reduce bacteria that potentially can cause disease skin wound and general cleanser: helps reduce bacteria on the skin

⏱️ Dosage and Administration 153 words ▾

Directions use with care in premature infants or infants under 2 months of age. These product may cause irritation or chemical burns. use full strength do not dilute Surgical hand scrub remove jewelry wet hands and forearms with water and apply 5 mL of the product wash/scrub hands and forearms for 3 minutes paying particular attention to the nails, cuticles, and interdigital spaces rinse thoroughly with water washfor an additional 3 minutes with 5 mL of the product and rinse under running water dry thoroughly Healthcare personnel handwash wet hands with water dispense about 5 mL of product into cupped hands and wash in a vigorous manner for 30 seconds rinse and dry thoroughly Skin wound and general skin cleanser thoroughly rinse the area to be cleansed with water apply the minimum amount of product necessary to cover the skin or wound area and wash gently.

Rinse thoroughly with water. rinse again thoroughly

⚠️ Warnings 215 words ▾

Warnings For external use only Allergy alert This product may cause a severe allergic reaction. Symptoms may include: wheezing/difficulty breathing shock facial swelling hives rash If an allergic reaction occurs, stop use and seek medical help right away. Do not use if you are allergic to chlorhexidine gluconate or any other ingredients in this preparation as a properative skin preparation (especially on the head or face) in contact with meninges in the genital area When using this product keep out of eyes, ears, and mouth.

May cause serious and permanent eye injury if placed or kept in the eye during surgical during surgical procedures or may cause deafness when instilled in the middle ear through perforated ear drums. if contact occurs, rinse with cold water right away wounds which involve more than the superficial layers of the skin should not be routinely treated repeated general skin cleansing of large body areas should not be done except when underlying condition makes it necessary to reduce the bacterial population of the skin Stop use and ask a doctor if irritation, sensitization, or allergic reaction occurs and lasts for 72 hours.

These may be signs of a serious condition. Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

🧪 Active Ingredient 5 words ▾

Active ingredient Chlorhexidine gluconate, 2%

🧪 Inactive Ingredients 29 words ▾

Inactive ingredients cocamide DEA, cocamine oxide, fragrance, gluconic acid *, gluconolactone*, isopropyl alcohol 4%, PEG-75 lanolin, PEG-150 distearate, propylene glycol, quaternium-60, water *contains one or more of these ingredients

🎯 Purpose 13 words ▾

Purposes Surgical hand scrub Healthcare personnel handwash Skin wound and general skin cleanser

📄 Do Not Use 36 words ▾

Do not use if you are allergic to chlorhexidine gluconate or any other ingredients in this preparation as a properative skin preparation (especially on the head or face) in contact with meninges in the genital area

📄 Ask a Doctor Before Use If 26 words ▾

Stop use and ask a doctor if irritation, sensitization, or allergic reaction occurs and lasts for 72 hours. These may be signs of a serious condition.

📄 When Using This Product 96 words ▾

When using this product keep out of eyes, ears, and mouth. May cause serious and permanent eye injury if placed or kept in the eye during surgical during surgical procedures or may cause deafness when instilled in the middle ear through perforated ear drums. if contact occurs, rinse with cold water right away wounds which involve more than the superficial layers of the skin should not be routinely treated repeated general skin cleansing of large body areas should not be done except when underlying condition makes it necessary to reduce the bacterial population of the skin

📄 Keep Out of Reach of Children 19 words ▾

Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away.

📄 Questions or Comments 14 words ▾

Questions or comments? call 1.800.581.2528 , 24 hours a day, 7 days a week

📚 References 40 words ▾

Other information store between 20-25 ° C (68-77 ° F) avoid excessive heat (above 104 ° F/40 ° C) for additional information, see Material Safety Data Sheet (MSDS) if swallowed get medical help or contact a Poison Control Center immediately

📄 Package Label / Principal Display Panel 147 words ▾

Representative label and principal display panel SCRUB™ Chlorhexidine Gluconate 2% Foaming Solution ANTIMICROBIAL SKIN CLEANSER FOR EXTERNAL USE ONLY www.SCRUBchg.com AVA, Inc. Willowbrook IL 60527 FDA APPROVED MADE IN THE USA WARNING: This product can expose you to cocamide DEA, which is known to the State of California to cause cancer. For more information, go to www.P65Warnings.ca.gov NDC 42939-124-19 32 fl oz (946 mL) GREMED MEDICAL PRODUCTS FOAM SAFE TM Chlorhexidine Gluconate Liquid Solution 2.0% ANTIMICROBIAL skin cleanser FOR EXTERNAL USE ONLY 1 L (1.05 U.S Qt) U.S.

Patent No. Re 33,564 NDC 42939-124-23 GREMED.com 8040 NW 14 St Doral FL 33126 (Bottle/Container Label) GREMED MEDICAL PRODUCTS FOAM SAFE TM Chlorhexidine Gluconate Liquid Solution 2.0% ANTIMICROBIAL skin cleanser FOR EXTERNAL USE ONLY 1 L (1.05 U.S Qt) U.S. Patent No.

Re 33,564 NDC 42939-124-23 GREMED.com 8040 NW 14 St Doral FL 33126 (CASE LABEL) 32 gmdbtl gmdcs

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicare Part D spend CMS · PART D · 2026 (Q1)

Medicare Part D (outpatient prescription) spending for Chlorhexidine Gluconate (matched by generic name) — the program that covers self-administered drugs. 7 manufacturers.
⚠️ Drug-level data: CMS publishes Part D spending by drug, not by NDC — these figures combine every manufacturer, strength and package size sold under the name Chlorhexidine Gluconate. CMS lists 2 products for this generic; we show the highest-spend one. That’s a different level of aggregation than the Medicaid card above, which is specific to this exact 11-digit NDC (pack size included), so the two aren’t directly comparable.
Period
Total Part D spend
$3.96M
Claims incl. refills
658.9K
Beneficiaries
540.1K
Spend / beneficiary
$7.34
Spend / claim
$6.02
Trend by period
💵 About the dollar figures: spending is what Part D plans paid before confidential manufacturer rebates, so the program’s real net cost is lower. A blank patient count means fewer than 11 people — CMS hides counts that small to protect privacy. Source: CMS Medicare Quarterly Part D Spending by Drug (data.cms.gov), updated quarterly.

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) ✓ Available
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold.
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by AVA, Inc.. Listing status can change — the directory data on this page refreshes weekly.
Does this product come in other package sizes?
Yes — the FDA directory lists 24 other package presentations of this same product, including 30 ml (42939-0124-13), 59 ml (42939-0124-20), 59 ml (42939-0124-14). Each has its own NDC and its own page — see the package list near the top of this page.
Who lists this product with the FDA?
AVA, Inc. is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 42939-0101-01 · AVA, 42939-0125-19 · AVA, →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.