Over-the-counter drug · OTC MONOGRAPH DRUG
Signature Care Triple Antibiotic NDC 21130-448
bacitracin, neomycin, polymyxin b, pramoxine hcl · Bacitracin zinc 500 [USP'U]/g + 3 more ingredients · Ointment · Topical · Safeway
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-448-64 | 21130044864 | 1 TUBE in 1 CARTON (21130-448-64) / 28 g in 1 TUBEMarketed from Sep 27, 2015 |
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, neomycin, 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
- Safeway
- 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 21130-448_f24a6d8f-d9c7-4df8-8447-3cc7c7f7fa4cSPL ID f24a6d8f-d9c7-4df8-8447-3cc7c7f7fa4cSPL set ID 8d5bac6b-98b6-4fc4-983a-ca5292b4c361RxCUI 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
N421130044864followed by a unit qualifier and the quantityPackage 21130-0448-64. 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.
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 |
|---|---|---|---|---|
| Premier Value Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Premier Value Alliance LLC. | 68016-320 |
| Hydrogen Peroxide | Hydrogen peroxide 30 mg/mL | SprayTopical | JHK Inc | 73598-0661 |
| antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | Kroger Company | 30142-790 |
| Triple Antibioticbacitracin zinc, neomycin, polymyxin b | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | A-S Medication Solutions | 50090-1859 |
| Family Wellness Antiseptic and Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochloride | Bacitracin zinc .51 g/100g + 3 more ingredients | OintmentTopical | FRONT PHARMACEUTICAL PLC | 69571-007 |
| Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Premier Value Alliance LLC. | 68016-319 |
| Family Wellnessbacitracin zinc | Bacitracin zinc .51 g/100g | OintmentTopical | FRONT PHARMACEUTICAL PLC | 69571-008 |
| Basic Care First Aid Antibioticbacitracin, neomycin, polymyxin b, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Amazon.com Services LLC | 72288-679 |
| Isopropyl Alcohol | Isopropyl alcohol 700 mL/L | SprayTopical | JHK Inc | 73598-0651 |
| Single Antibioticbacitracin zinc | Bacitracin zinc 500 [iU]/g | OintmentTopical | Safetec of America, Inc. | 61010-4404 |
| Triple Antibiotic with Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochloride | Bacitracin zinc 500 [iU]/g + 3 more ingredients | OintmentTopical | Safetec of America, Inc. | 61010-4401 |
| Fresh Startchloroxylenol | Chloroxylenol 3 mg/mL | SoapTopical | Pro Chem, Inc. | 63830-950 |
| Family Care First Aidbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | United Exchange Corp. | 65923-491 |
| Ecolab Triple Antibioticbacitracin, neomycin sulfate, polymyxin b sulfate | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | Ecolabs Food Safety Specialties, Inc. | 71338-121 |
| Bacitracin Zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-510 |
| 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, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | CVS Pharmacy | 69842-754 |
| Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients | OintmentTopical | Nantong Health & Beyond Hygienic Products Inc. | 43473-301 |
| Premier Value Bacitracin Zincbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Pharmacy Value Alliance LLC | 68016-107 |
| Triple Antibiotic Ointment, Circle Ktriple antibiotic ointment | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | Lil' Drug Store Products, Inc. | 66715-5305 |
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