Over-the-counter drug · OTC MONOGRAPH DRUG
Signature Care Triple Antibiotic NDC 21130-120
bacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hcl · Bacitracin zinc 500 [USP'U]/g + 3 more ingredients · Ointment · Topical · Safeway
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-120Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0120Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-120-58 | 2113001205821130012058 | 1 TUBE in 1 CARTON (21130-120-58) / 14 g in 1 TUBEMarketed from May 9, 2017 |
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)
- Signature Care Triple Antibiotic
- Generic name (nonproprietary)
- bacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hcl
- Active ingredients
- Bacitracin zinc — 500 [USP'U]/gNeomycin sulfate — 3.5 mg/gPolymyxin b sulfate — 10000 [USP'U]/gPramoxine hydrochloride — 10 mg/g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- SafewayNDC labeler code 21130
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 004
- Marketing start
- Listing expires
- Other FDA classes
- Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
- Identifiers
- Product ID 21130-120_eeaa26fd-5bbc-478a-a9df-c061dc374058SPL ID eeaa26fd-5bbc-478a-a9df-c061dc374058SPL set ID 46db4b66-85a2-47fc-a643-df6477e2ddffRxCUI 1359350UNII 89Y4M234ES, 057Y626693, 19371312D4, 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
N421130012058followed by a unit qualifier and the quantityPackage 21130-0120-58. 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 help prevent infection and for temporary relief of pain or discomfort in minor: • cuts • scrapes • burns
Excerpt only. Read the full label for complete information.
About NDC 21130-120
- What is NDC 21130-120?
- 21130-120 is the product NDC for Signature Care Triple Antibiotic, Bacitracin zinc 500 [USP'U]/g + 3 more ingredients ointment, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Signature Care Triple Antibiotic (Bacitracin Zinc, Neomycin sulfate, Polymyxin B, Pramoxine HCl).
- What is the active ingredient?
- Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate, Pramoxine hydrochloride.
- Who is the labeler?
- Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Signature Care Triple Antibiotic?
- 2 other product NDCs are listed under this name. See all Signature Care Triple Antibiotic NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Signature Care Triple Antibiotic products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Signature Care Triple Antibioticbacitracin zinc, neomycin, polymyxin b | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Safeway | 21130-409 | 21130-0409-5821130-0409-64 |
| Signature Care Triple Antibioticbacitracin, neomycin, polymyxin b, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Safeway | 21130-448 | 21130-0448-64 |
Other NDCs under M 004
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| ProcureTriple Antibiotic Triple Antibioticbacitracin zinc neomycin sulfate polymyxin b | Bacitracin zinc 400 U/g + 2 more ingredients | OintmentTopical | TWIN MED, LLC | 55681-216 |
| Equatebacitracin zinc antibiotic ointment | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Walmart Inc. | 79903-372 |
| Aosi Healthcare Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Nantong Health & Beyond Hygienic Products Inc. | 43473-053 |
| Bacitracin | Bacitracin 500 [USP'U]/g | OintmentTopical | Kroger | 41226-880 |
| Claraviebacitracin zinc, neomycin sulfate, polymyxin b | Bacitracin zinc 400 U/g + 2 more ingredients | OintmentTopical | Gentell LLC | 61554-309 |
| CareALL Triple Antibiotic plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | New World Imports, Inc | 51824-074 |
| Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | FRED'S, INC. | 55315-192 |
| Bacitracin Zincfirst aid antibiotic | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Dynarex Corporation | 67777-008 |
| ProCure Bacitracin Zincbacitracin zinc | Bacitracin zinc 500 [iU]/g | OintmentTopical | Twin Med LLC | 55681-016 |
| Dual Action Creamneomycinsulfate,polymyxinbsulfate,pramoxinehcl | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | Trifecta Pharmaceutical USA LLC | 69396-071 |
| Bacitracin Zinc | Bacitracin zinc 500 [iU]/g | OintmentTopical | Henry Schein | 0404-0172 |
| Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Walgreen Company | 0363-8888 |
| Multi Actionbacitracinzinc,neomycinsulfate,polymyxinbsulfate,pramoxinehcl | Polymyxin b sulfate 10000 [USP'U]/g + 3 more ingredients | OintmentTopical | Trifecta Pharmaceutical USA LLC | 69396-072 |
| Leader Triple antibioticbacitracin,neomycin,polymxin | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Cardinal Health 110 dba LEADER | 70000-0687 |
| Triple Antibioticpolymyxin b sulfate, bacitracin zinc and neomycin sulfate | Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients | OintmentTopical | Cosette Pharmaceuticals, Inc. | 0713-0268 |
| Signature Care Triple Antibioticbacitracin zinc, neomycin, polymyxin b | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Safeway | 21130-409 |
| ProCure Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Polymyxin b sulfate 5000 [iU]/g + 2 more ingredients | OintmentTopical | Twin Med LLC | 55681-020 |
| Medpride First Aidbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Shield Line LLC | 52410-3035 |
| Instant Hand Sanitizeralcohol | Alcohol .7 mL/mL | GelTopical | ABC Compounding Co., Inc. | 62257-061 |
| DG Health Antibioticbacitracin, neomycin, polymyxin b, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Dolgencorp, LLC | 55910-679 |
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