NDC codes

FDA NDC Directory
Product NDC (as listed)0363-2123Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-2123Add 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
0363-2123-1400363212314003632123141 TUBE in 1 CARTON (0363-2123-14) / 14 g in 1 TUBEMarketed from Jul 15, 2015
0363-2123-2800363212328003632123281 TUBE in 1 CARTON (0363-2123-28) / 28 g in 1 TUBEMarketed from Jul 15, 2015

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

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
Listing expires
Other FDA classes
Aminoglycosides (Chemical structure)Polymyxins (Chemical structure)
Identifiers
Product ID 0363-2123_cc7521e6-18ba-45d1-8dba-1151da0162e7SPL ID cc7521e6-18ba-45d1-8dba-1151da0162e7SPL set ID f4feccc3-ac25-4d8a-9b68-9a24f755524aRxCUI 1359360UNII 19371312D4, 057Y626693, 88AYB867L5UPC 0311917179117
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

N400363212314 followed by a unit qualifier and the quantity

Package 00363-2123-14. 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 .

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 0363-2123

What is NDC 0363-2123?
0363-2123 is the product NDC for Walgreens 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 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens 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 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
ProductStrengthForm · routeLabelerProduct NDC
Triple Antibiotic plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalSTRATEGIC SOURCING SERVICES LLC70677-1219
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalSTRATEGIC SOURCING SERVICES LLC70677-1217
Walgreens Arthritis Pain Relief Capsaicin AnalgesiccapsaicinCapsaicin 1 mg/gCreamTopicalWalgreen Company0363-0837
DERMFREE Triple Antibiotictriple antibioticNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-117
Bacitracin ZincBacitracin zinc 500 [USP'U]/gOintmentTopicalTrifecta Pharmaceuticals USA LLC69396-163
Triple Antibiotic plus Lidocainebacitracin zinc, neomycin sulfate , polymyxin b sulfate, lidocaineBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalTRIFECTA PHARMACEUTICALS USA LLC69396-154
Antibioticbacitracin zinc, polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalCVS PHARMACY, INC51316-044
Major Triple Antibioticbacitracin zinc, neomycin, polymyxin b sulfatNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalMajor Pharmaceuticals0904-8805
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalAcme United Corporation0924-5604
Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate.Bacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalTRIFECTA PHARMACEUTICALS USA LLC69396-162
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790
Simply Neosporin First Aid Antibioticbacitracin zinc and polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalKenvue Brands LLC69968-0612
Freshands Premium Foamy Antibacterial Handsoap 6876chloroxylenolChloroxylenol 3 mg/mLSoapTopicalConsolidated Chemicals, LLC75632-876
Antibiotic, Pain and Scarbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalCVS Pharmacy69842-669
triple antibioticbacitracin, neomycin, polymyxin b, pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalPublix Super Markets Inc56062-679
Xpect Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalCintas Corporation42961-236
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-264
Redicare Triple Antibiotic First Aidtriple antibiotic first aid ointmentBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalRedicare LLC71105-560
First Aid Antibioticbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalTARGET Corporation11673-396
Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfatePolymyxin b sulfate 5000 [USP'U]/g + 2 more ingredientsOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-301

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