What is NDC 16864-240?

16864-240 is the product NDC for Domeboro, Aluminum sulfate tetradecahydrate 1347 mg/1; Calcium acetate monohydrate 952 mg/1 powder, for solution, listed with the FDA by Advantice Health, LLC.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Domeboro (Aluminum Sulfate Tetradecahydrate, Calcium Acetate Monohydrate).

What is the active ingredient?

Aluminum sulfate tetradecahydrate, Calcium acetate monohydrate.

Advantice Health, LLC., NDC labeler code 16864. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Domeboro?

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.

Domeboro NDC 16864-240 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)16864-240Labeler and product segments. Claims need a package NDC.

Product NDC at billing width16864-0240Add 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
16864-240-01	1686402400116864024001	12 POWDER, FOR SOLUTION in 1 BOX (16864-240-01)Marketed from Jun 26, 2012

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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): Domeboro
Generic name (nonproprietary): aluminum sulfate tetradecahydrate, calcium acetate monohydrate
Active ingredients: Aluminum sulfate tetradecahydrate — 1347 mg/1Calcium acetate monohydrate — 952 mg/1
Dosage form: Powder, For solution
Route: Topical
Labeler: Advantice Health, LLC.NDC labeler code 16864
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 016
Marketing start: Jun 26, 2012
Listing expires: Dec 31, 2026
Identifiers: Product ID 16864-240_29165706-4e15-97ab-e063-6294a90a6613SPL ID 29165706-4e15-97ab-e063-6294a90a6613SPL set ID 28c39200-2f7c-954b-3ce7-7349b2738812RxCUI 1250234, 1293268UNII E3UT66504P, 7ZA48GIM5H

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

N416864024001 followed by a unit qualifier and the quantity

Package 16864-0240-01. 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 Dec 12, 2024.

Indications (excerpt from the label)

Uses temporarily relieves minor skin irritations due to: poison ivy poison oak poison sumac insect bites athlete's foot rashes caused by soaps, detergents, cosmetics, or jewelry

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 16864-240

What is NDC 16864-240?: 16864-240 is the product NDC for Domeboro, Aluminum sulfate tetradecahydrate 1347 mg/1; Calcium acetate monohydrate 952 mg/1 powder, for solution, listed with the FDA by Advantice Health, LLC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Domeboro (Aluminum Sulfate Tetradecahydrate, Calcium Acetate Monohydrate).
What is the active ingredient?: Aluminum sulfate tetradecahydrate, Calcium acetate monohydrate.
Who is the labeler?: Advantice Health, LLC., NDC labeler code 16864. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Domeboro?: 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 016

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

FDA NDC Directory listings under M 016
Product	Strength	Form · route	Labeler	Product NDC
2-Pack Facial Serum	Water 78.894 g/100mL + 4 more ingredients	LiquidCutaneous	Guangzhou Ariel Biotech Co., Ltd.	84148-011
2-Pack Facial Serum	3-o-ethyl ascorbic acid .5 g/100mL + 3 more ingredients	LiquidCutaneous	Guangzhou Ariel Biotech Co., Ltd.	84148-012
3M Cavilon Durable Barrierdimethicone	Dimethicone 13000 mg/L	CreamTopical	Solventum US LLC	17518-030
4% 10gTATTOO Numb Cream4% lidocaine	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-031
4% TATTOO Numb Cream4% lidocaine	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-030
456 Acne Relief Creamniacinamide,salicylic acid,centella asiatica root,coptis chinensis root	Salicylic acid 380 mg/50g + 3 more ingredients	CreamTopical	Guangzhou Senmai Biotechnology Co.,Ltd.	84509-111
5% Dr.care Numb creamlidocaine	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-028
5% Minoxidil	Minoxidil 2 g/100g + 3 more ingredients	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-328
5% Minoxidil	Minoxidil 2 g/100g + 3 more ingredients	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-329
5% Minoxidil	Biotin .05 g/100g; Niacinamide 2.5 g/100g	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-335
5% Minoxidil	Minoxidil 5 g/100g + 5 more ingredients	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-337
5% Minoxidil for Men and Women	Biotin .05 g/100g; Tocopherol .05 g/100g	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-332
5% Minoxidil Hair Growth	Biotin .1 g/100g + 3 more ingredients	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-333
5% Minoxidil Hair Growth	Minoxidil 5 g/100g + 3 more ingredients	SprayCutaneous	Guangzhou Yanxi Biotechnology Co., Ltd	84025-334
5% Signature Numb creamlidocaine	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-026
5% Signature Numb cream5% signature	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-027
5% Signature Numb cream5% lidocaine	Lidocaine 100 mg/g	CreamCutaneous	Shengnan (Guangzhou) Cosmetics Co., LTD	84019-029
70% Isopropyl Rubbing Alcoholisopropyl alcohol	Isopropyl alcohol 70 mL/100mL	LiquidTopical	MY IMPORTS USA LLC	51628-4501
911allantoin	Allantoin .5 g/100g	OintmentTopical	Skinfix, Inc.	61328-120
A and Dpetrolatum	Petrolatum 76 g/100g	OintmentTopical	Safetec of America, Inc.	61010-4405

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