What is NDC 0363-2122?

0363-2122 is the product NDC for Walgreens Kids Multi-Antibiotic with Pain Relief Cream, Polymyxin b sulfate 10000 [USP'U]/g + 2 more ingredients cream, listed with the FDA by Walgreens Company. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Walgreens Kids Multi-Antibiotic with Pain Relief Cream (Polymyxin B Sulfate, Neomycin Sulfate, Pramoxine Hydrochloride).

What is the active ingredient?

Polymyxin b sulfate, Neomycin sulfate, Pramoxine hydrochloride.

Walgreens Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Walgreens Kids Multi-Antibiotic with Pain Relief Cream?

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.

NDC 0363-2122

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-2122Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-2122Add 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 NDC	11-digit (billing)	Package	Copy
0363-2122-14	0036321221400363212214	1 TUBE in 1 CARTON (0363-2122-14) / 14 g in 1 TUBEMarketed from Dec 1, 2022

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Walgreens Kids Multi-Antibiotic with Pain Relief Cream
Generic name (nonproprietary): polymyxin b sulfate, neomycin sulfate, pramoxine hydrochloride
Active ingredients: Polymyxin b sulfate — 10000 [USP'U]/gNeomycin sulfate — 3.5 mg/gPramoxine hydrochloride — 10 mg/g
Dosage form: Cream
Route: Topical
Labeler: Walgreens CompanyNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 004
Marketing start: Dec 1, 2022
Listing expires: Dec 31, 2026
Other FDA classes: Aminoglycosides (Chemical structure)Polymyxins (Chemical structure)
Identifiers: Product ID 0363-2122_e2259c15-7a2e-4cae-bca8-791d41b35f12SPL ID e2259c15-7a2e-4cae-bca8-791d41b35f12SPL set ID fbc364d7-d8b8-43f5-99cc-290438f3982bRxCUI 1359360UNII 19371312D4, 057Y626693, 88AYB867L5
Pharmacologic class: Aminoglycoside Antibacterial; Polymyxin-class Antibacterial

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

N400363212214 followed by a unit qualifier and the quantity

Package 00363-2122-14. 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 Nov 20, 2024.

Indications (excerpt from the label)

Uses first aid to prevent infection and for the temporary relief of pain or discomfort in minor: cuts scapes burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-2122

What is NDC 0363-2122?: 0363-2122 is the product NDC for Walgreens Kids Multi-Antibiotic with Pain Relief Cream, Polymyxin b sulfate 10000 [USP'U]/g + 2 more ingredients cream, listed with the FDA by Walgreens Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Walgreens Kids Multi-Antibiotic with Pain Relief Cream (Polymyxin B Sulfate, Neomycin Sulfate, Pramoxine Hydrochloride).
What is the active ingredient?: Polymyxin b sulfate, Neomycin sulfate, Pramoxine hydrochloride.
Who is the labeler?: Walgreens Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Walgreens Kids Multi-Antibiotic with Pain Relief Cream?: 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 004

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

FDA NDC Directory listings under M 004
Product	Strength	Form · route	Labeler	Product NDC
Triple Antibiotic plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	STRATEGIC SOURCING SERVICES LLC	70677-1219
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	STRATEGIC SOURCING SERVICES LLC	70677-1217
Walgreens Arthritis Pain Relief Capsaicin Analgesiccapsaicin	Capsaicin 1 mg/g	CreamTopical	Walgreen Company	0363-0837
DERMFREE Triple Antibiotictriple antibiotic	Neomycin sulfate 3.5 mg/g + 2 more ingredients	OintmentTopical	Jiangxi Yudexi Pharmaceutical Co., LTD	85248-117
Bacitracin Zinc	Bacitracin zinc 500 [USP'U]/g	OintmentTopical	Trifecta Pharmaceuticals USA LLC	69396-163
Triple Antibiotic plus Lidocainebacitracin zinc, neomycin sulfate , polymyxin b sulfate, lidocaine	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	TRIFECTA PHARMACEUTICALS USA LLC	69396-154
Antibioticbacitracin zinc, polymyxin b sulfate	Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g	OintmentTopical	CVS PHARMACY, INC	51316-044
Major Triple Antibioticbacitracin zinc, neomycin, polymyxin b sulfat	Neomycin sulfate 3.5 mg/g + 2 more ingredients	OintmentTopical	Major Pharmaceuticals	0904-8805
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Acme United Corporation	0924-5604
Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate.	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	TRIFECTA PHARMACEUTICALS USA LLC	69396-162
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride	Neomycin sulfate 3.5 mg/g + 2 more ingredients	CreamTopical	Kroger Company	30142-790
Simply Neosporin First Aid Antibioticbacitracin zinc and polymyxin b sulfate	Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g	OintmentTopical	Kenvue Brands LLC	69968-0612
Freshands Premium Foamy Antibacterial Handsoap 6876chloroxylenol	Chloroxylenol 3 mg/mL	SoapTopical	Consolidated Chemicals, LLC	75632-876
Antibiotic, Pain and Scarbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hcl	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	CVS Pharmacy	69842-669
triple antibioticbacitracin, neomycin, polymyxin b, pramoxine hydrochloride	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Publix Super Markets Inc	56062-679
Xpect Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Cintas Corporation	42961-236
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Chain Drug Marketing Association Inc.	83324-264
Redicare Triple Antibiotic First Aidtriple antibiotic first aid ointment	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Redicare LLC	71105-560
First Aid Antibioticbacitracin zinc	Bacitracin zinc 500 [USP'U]/g	OintmentTopical	TARGET Corporation	11673-396
Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients	OintmentTopical	Nantong Health & Beyond Hygienic Products Inc.	43473-301

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Walgreens Kids Multi-Antibiotic with Pain Relief Cream NDC 0363-2122