Neomycin and Polymyxin B Sulfates NDC 39822-1220

NDC codes

FDA NDC Directory

Product NDC (as listed)39822-1220Labeler and product segments. Claims need a package NDC.

Product NDC at billing width39822-1220Add 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
39822-1220-1	39822122001	1 VIAL, GLASS in 1 CARTON (39822-1220-1) / 20 mL in 1 VIAL, GLASSMarketed from Jan 31, 2006

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): Neomycin and Polymyxin B Sulfates
Generic name (nonproprietary): neomycin and polymyxin b sulfates
Active ingredients: Neomycin sulfate — 40 mg/mLPolymyxin b sulfate — 200000 [USP'U]/mL
Dosage form: Solution
Route: Irrigation
Labeler: XGen Pharmaceuticals DJB, Inc.
Product type: Prescription drug
Marketing category: ANDA — Abbreviated New Drug Application (generic)Application ANDA 065108
Marketing start: Jan 31, 2006
Listing expires: Dec 31, 2027
Other FDA classes: Aminoglycosides (Chemical structure)Polymyxins (Chemical structure)
Identifiers: Product ID 39822-1220_4d508cf6-f6a4-be9f-e063-6394a90af91eSPL ID 4d508cf6-f6a4-be9f-e063-6394a90af91eSPL set ID a2f47d77-efd3-4c84-a364-08fb6d9978ebRxCUI 314124UNII 057Y626693, 19371312D4UPC 0339822120154, 0339822122011
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N439822122001 followed by a unit qualifier and the quantity

Package 39822-1220-01. 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 Mar 18, 2026.

Indications (excerpt from the label)

INDICATIONS AND USAGE Neomycin and Polymyxin B Sulfates Solution for Irrigation is indicated for short-term use (up to 10 days) as a continuous irrigant or rinse in the urinary bladder of abacteriuric patients to help prevent bacteriuria and gram-negative rod septicemia associated with the use of indwelling catheters. Since organisms gain entrance to the bladder by way of, through, and around the catheter, significant bacteriuria is induced by bacterial multiplication in the bladder urine, in the mucoid film often present between catheter and urethra, and in other sites. Urinary tract infection may result from the repeated presence in the urine of large numbers of pathogenic bacteria. The us…

Excerpt only. Read the full label for complete information.

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