What is NDC 0404-0171?

0404-0171 is the product NDC for Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate, Polymyxin b sulfate 50000 [iU]/g + 2 more ingredients ointment, listed with the FDA by Henry Schein. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate.

What is the active ingredient?

Polymyxin b sulfate, Neomycin sulfate, Bacitracin zinc.

Henry Schein, NDC labeler code 0404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate?

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 0404-0171

NDC codes

FDA NDC Directory

Product NDC (as listed)0404-0171Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00404-0171Add 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
0404-0171-50	0040401715000404017150	72 BOX in 1 CASE (0404-0171-50) / 1 TUBE in 1 BOX / 28.4 g in 1 TUBEMarketed from Nov 4, 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): Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate
Generic name (nonproprietary): bacitracin zinc, polymyxin b sulfate, and neomycin sulfate
Active ingredients: Polymyxin b sulfate — 50000 [iU]/gNeomycin sulfate — 5 mg/gBacitracin zinc — 400 [iU]/g
Dosage form: Ointment
Route: Topical
Labeler: Henry ScheinNDC labeler code 0404
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 004
Marketing start: Nov 4, 2022
Listing expires: Dec 31, 2027
Other FDA classes: Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers: Product ID 0404-0171_5d41b051-4fd6-6334-e063-6394a90a76e4SPL ID 5d41b051-4fd6-6334-e063-6394a90a76e4
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

N400404017150 followed by a unit qualifier and the quantity

Package 00404-0171-50. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 0404-0171

What is NDC 0404-0171?: 0404-0171 is the product NDC for Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate, Polymyxin b sulfate 50000 [iU]/g + 2 more ingredients ointment, listed with the FDA by Henry Schein. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate.
What is the active ingredient?: Polymyxin b sulfate, Neomycin sulfate, Bacitracin zinc.
Who is the labeler?: Henry Schein, NDC labeler code 0404. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate?: 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 Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Safetec of America, Inc.	61010-5603
Thompson Triple Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfate	Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients	OintmentTopical	Thompson	73408-935
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Safetec of America, Inc.	61010-5600
Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 U/g + 2 more ingredients	OintmentTopical	Fourstar Group USA, Inc	80684-198
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride	Polymyxin b sulfate 10000 [USP'U]/g + 2 more ingredients	CreamTopical	Target Corporation	11673-770
signature care first aid antibioticbacitracin	Bacitracin 500 [USP'U]/g	OintmentTopical	Safeway	21130-757
Single Antibiotic with bacitracinbacitracin zinc	Bacitracin zinc 400 [USP'U]/g	OintmentTopical	Safetec of America	61010-5601
Major Clotrimazoleclotrimazole	Clotrimazole 10 mg/g	CreamTopical	NuCare Pharmaceuticals,Inc.	66267-980
American Safety First Aid Antispeticisopropyl alcohol	Isopropyl alcohol 700 mg/1000mL	SprayTopical	Orazen Inc	71927-014
Crane Safety Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Crane Safety LLC	73408-934
First Aid Only Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 U/g + 2 more ingredients	OintmentTopical	Acme United Corporation	0924-5618
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.	83324-036
Biofreeze Professionalmenthol, unspecified form	Menthol, Unspecified form 50 mg/mL	GelTopical	NuCare Pharmaceuticals,Inc.	68071-4325
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	EVER READY FIRST AID	72976-009
InstantFoam Complete PUREalcohol	Alcohol 85.6 mL/100mL	LiquidTopical	SC Johnson Professional USA Inc.	11084-309
Fresh Startchloroxylenol	Chloroxylenol 3 mg/mL	SoapTopical	Pro Chem, Inc.	63830-950
berkley and jensen triple antibioticbacitracin zinc, neomycin, polymyxin b	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	BJWC	68391-207
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Lidl US, LLC	71141-134
Hermon bed sore and pressure sore creamcalendula officinalis1x hpus 1.5%	Calendula officinalis flower 1.5 [hp_X]/120g	CreamTopical	Beautivity LLC	85398-023
Exchange Select First Aid Triple Anitbiotic Pain Relievingbacitracin, neomycin, polymyxin b, pramoxine hcl	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Army & Air Force Exchange Service	55301-123

Showing 20 of 40.

Bacitracin Zinc, Polymyxin B Sulfate, and Neomycin Sulfate NDC 0404-0171