NDC codes

FDA NDC Directory
Product NDC (as listed)30142-790Labeler and product segments. Claims need a package NDC.
Product NDC at billing width30142-0790Add 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
30142-790-5830142079058301420790581 TUBE in 1 CARTON (30142-790-58) / 14 g in 1 TUBEMarketed from Feb 14, 2019

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)
antibiotic plus pain relief
Generic name (nonproprietary)
neomycin, polymyxin b, pramoxine hydrochloride
Active ingredients
Neomycin sulfate — 3.5 mg/gPramoxine hydrochloride — 10 mg/gPolymyxin b sulfate — 10000 [USP'U]/g
Dosage form
Cream
Route
Topical
Labeler
Kroger CompanyNDC labeler code 30142
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 004
Marketing start
Listing expires
Other FDA classes
Aminoglycosides (Chemical structure)Polymyxins (Chemical structure)
Identifiers
Product ID 30142-790_0fe7e7ba-4a5f-40b7-a1f2-c9778deb7db5SPL ID 0fe7e7ba-4a5f-40b7-a1f2-c9778deb7db5SPL set ID 91828614-d0d1-472f-802f-43f473860125RxCUI 1359360UNII 057Y626693, 88AYB867L5, 19371312D4
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

N430142079058 followed by a unit qualifier and the quantity

Package 30142-0790-58. 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.

Full label on DailyMed (opens in a new tab)

About NDC 30142-790

What is NDC 30142-790?
30142-790 is the product NDC for antibiotic plus pain relief, Neomycin sulfate 3.5 mg/g + 2 more ingredients cream, listed with the FDA by Kroger Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
antibiotic plus pain relief (Neomycin, Polymyxin B, Pramoxine Hydrochloride).
What is the active ingredient?
Neomycin sulfate, Pramoxine hydrochloride, Polymyxin b sulfate.
Who is the labeler?
Kroger Company, NDC labeler code 30142. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for antibiotic plus pain relief?
1 other product NDC are listed under this name. See all antibiotic plus pain relief 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 antibiotic plus pain relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Antibiotic Plus Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalTARGET Corporation11673-39311673-0393-01

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
ProductStrengthForm · routeLabelerProduct NDC
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalSafetec of America, Inc.61010-5603
Thompson Triple Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfatePolymyxin b sulfate 5000 [USP'U]/g + 2 more ingredientsOintmentTopicalThompson73408-935
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalSafetec of America, Inc.61010-5600
Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalFourstar Group USA, Inc80684-198
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloridePolymyxin b sulfate 10000 [USP'U]/g + 2 more ingredientsCreamTopicalTarget Corporation11673-770
signature care first aid antibioticbacitracinBacitracin 500 [USP'U]/gOintmentTopicalSafeway21130-757
Single Antibiotic with bacitracinbacitracin zincBacitracin zinc 400 [USP'U]/gOintmentTopicalSafetec of America61010-5601
Major ClotrimazoleclotrimazoleClotrimazole 10 mg/gCreamTopicalNuCare Pharmaceuticals,Inc.66267-980
American Safety First Aid Antispeticisopropyl alcoholIsopropyl alcohol 700 mg/1000mLSprayTopicalOrazen Inc71927-014
Crane Safety Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCrane Safety LLC73408-934
First Aid Only Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalAcme United Corporation0924-5618
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-036
Biofreeze Professionalmenthol, unspecified formMenthol, Unspecified form 50 mg/mLGelTopicalNuCare Pharmaceuticals,Inc.68071-4325
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalEVER READY FIRST AID72976-009
InstantFoam Complete PUREalcoholAlcohol 85.6 mL/100mLLiquidTopicalSC Johnson Professional USA Inc.11084-309
Fresh StartchloroxylenolChloroxylenol 3 mg/mLSoapTopicalPro Chem, Inc.63830-950
berkley and jensen triple antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalBJWC68391-207
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalLidl US, LLC71141-134
Hermon bed sore and pressure sore creamcalendula officinalis1x hpus 1.5%Calendula officinalis flower 1.5 [hp_X]/120gCreamTopicalBeautivity LLC85398-023
Exchange Select First Aid Triple Anitbiotic Pain Relievingbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalArmy & Air Force Exchange Service55301-123

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