Over-the-counter drug · OTC MONOGRAPH DRUG

Acne Treatment (Benzoyl peroxide) NDC 11822-7701

Benzoyl peroxide 100 mg/g · Gel · Topical · Rite Aid Corporation

NDC codes

FDA NDC Directory
Product NDC (as listed)11822-7701Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-7701Add 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
11822-7701-3118227701031 TUBE in 1 PACKAGE (11822-7701-3) / 28 g in 1 TUBEMarketed from Dec 2, 2011

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Acne Treatment
Generic name (nonproprietary)
benzoyl peroxide
Active ingredients
Benzoyl peroxide — 100 mg/g
Dosage form
Gel
Route
Topical
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 006
Marketing start
Listing expires
Identifiers
Product ID 11822-7701_499f54f4-7020-dd11-e063-6294a90a17b8SPL ID 499f54f4-7020-dd11-e063-6294a90a17b8SPL set ID a51b7668-1ba1-42cb-b804-4fdf76610695RxCUI 486131UNII W9WZN9A0GM

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

N411822770103 followed by a unit qualifier and the quantity

Package 11822-7701-03. 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 the treatment of acne

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-7701

What is NDC 11822-7701?
11822-7701 is the product NDC for Acne Treatment (benzoyl peroxide), Benzoyl peroxide 100 mg/g gel, listed with the FDA by Rite Aid Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Acne Treatment (Benzoyl peroxide).
What is the active ingredient?
Benzoyl peroxide.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acne Treatment?
10 other product NDCs are listed under this name. See all Acne Treatment NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Acne Treatment NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Acne TreatmenttreatSalicylic acid 2 g/100mLGelTopicalBio Clarity LLC87799-99987799-0999-1087799-0999-11
Acne TreatmentAdapalene 1 g/1GelCutaneousJiangxi Zhongteng Pharmaceutical Co., Ltd87240-39687240-0396-14
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 100 mg/gGelTopicalTopco Associates LLC76162-22976162-0229-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 1 mg/gGelTopicalCVS Pharmacy, Inc.69842-64669842-0646-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 100 mg/gGelTopicalAmazon.com Services LLC72288-22972288-0229-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 100 mg/gGelTopicalThe Kroger Co.30142-87730142-0877-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 100 mg/gGelTopicalWalmart Inc.49035-22949035-0229-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 1 mg/gGelTopicalWalgreen Co.0363-022900363-0229-10
Acne Treatmentbenzoyl peroxideBenzoyl peroxide 50 mg/mLLotionTopicalVivier Pharma, Inc.67226-205067226-2050-03
Acne Treatmentsalicylic acidSalicylic acid 5 mg/gGelTopicalNatureplex, LLC67234-00767234-0007-01

Other NDCs under M 006

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

FDA NDC Directory listings under M 006
ProductStrengthForm · routeLabelerProduct NDC
10 Acne Medbenzoyl peroxideBenzoyl peroxide 100 mg/mLGelTopicalFace Reality, Inc.70707-151
10% Azelaic Acidazelaic acid creamAzelaic acid 10 g/100gCreamTopicalGuangzhou Ariel Medical Technology Co., Ltd.87815-002
111 Medco Benzoyl Peroxidebenzoyl peroxideBenzoyl peroxide 100 mg/gSoapTopical111 Medco72811-137
111MedCo 2% Salicylic Acid Cleansing Barsalicylic acidSalicylic acid 20 mg/gSoapTopical111MedCo LLC72811-000
111MedCo 6% Sulfur Skin Cleansing BarsulfurSulfur 60 mg/gSoapTopical111MedCo LLC72811-001
14% Azelaic Acidazelaic acidAzelaic acid 14 g/100gCreamTopicalGuangzhou Ariel Medical Technology Co., Ltd.87815-003
14% Azelaic Acid Acneazelaic acidAzelaic acid 14 g/100gCreamTopicalGuangdong Bisutang Biotechnology Co., Ltd.84753-056
2.5 Acne Medbenzoyl peroxideBenzoyl peroxide 25 mg/mLGelTopicalFace Reality, Inc.70707-152
24 Hour Acne Serumbenzoyl peroxideBenzoyl peroxide 5 g/100gGelTopicalDrmtlgy, LLC83286-007
24 Hour Sensitive Skin Acne Clearing Systemsalicylic acid—KitAcne Free LLC80861-118
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-170
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-171
24 Pk Blemish Dotsalicylic acid 0.5%Salicylic acid .5 g/100gPatchTopicalGanzhou Olivee Cosmetic Co., Ltd.56136-172
30 day Acne Treatment Kitsalicylic acid, benzoyl peroxide—KitTopicalCosmetic Enterprises Ltd56152-0250
5 Percent Benzoyl Peroxide Cleanserbenzoyl peroxideBenzoyl peroxide 50 mg/mLGelTopicalBrand Evangelists for Beauty Limited81136-023
Abib Acne foam cleanser Heartleaf foamsalicylic acidSalicylic acid .65 g/100mLCreamTopicalFourcompany Co., Ltd.73676-101
Acne Advanced Clarifying Hydratorsalicylic acidSalicylic acid 10 mg/mLCreamTopicalEminence Organic Skin Care Ltd.15751-3030
Acne Advanced Clarifying Masquesalicylic acidSalicylic acid 5 mg/mLCreamTopicalEminence Organic Skin Care Ltd.15751-3020
Acne Advanced Treatment Systemsalicylic acid—KitEminence Organic Skin Care Ltd.15751-3000
Acne And Line Correcting Serumsalicylic acidSalicylic acid 10 mg/mLLotionTopicalCLINIQUE LABORATORIES LLC49527-053

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