NDC codes

FDA NDC Directory
Product NDC (as listed)49035-016Labeler and product segments. Claims need a package NDC.
Product NDC at billing width49035-0016Add 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
49035-016-02490350016021 TUBE in 1 CARTON (49035-016-02) / 28.4 g in 1 TUBEMarketed from Dec 14, 1995

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)
Triple Antibiotic
Generic name (nonproprietary)
bacitracin zinc, neomycin sulfate, and polymyxin b sulfate
Active ingredients
Bacitracin zinc400 [iU]/gNeomycin sulfate3.5 mg/gPolymyxin b sulfate5000 [iU]/g
Dosage form
Ointment
Route
Topical
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 49035-016_39e4611c-629d-bcf9-e063-6294a90a4bdaSPL ID 39e4611c-629d-bcf9-e063-6294a90a4bdaSPL set ID f5199476-1ce2-4a82-9685-40d78b7a8935RxCUI 204602UNII 89Y4M234ES, 057Y626693, 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

N449035001602 followed by a unit qualifier and the quantity

Package 49035-0016-02. 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

Label details couldn’t be retrieved right now. Open the label on DailyMed.

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
Premier Value Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalPremier Value Alliance LLC.68016-320
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSprayTopicalJHK Inc73598-0661
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790
Triple Antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalA-S Medication Solutions50090-1859
Family Wellness Antiseptic and Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochlorideBacitracin zinc .51 g/100g + 3 more ingredientsOintmentTopicalFRONT PHARMACEUTICAL PLC69571-007
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalPremier Value Alliance LLC.68016-319
Family Wellnessbacitracin zincBacitracin zinc .51 g/100gOintmentTopicalFRONT PHARMACEUTICAL PLC69571-008
Basic Care First Aid Antibioticbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalAmazon.com Services LLC72288-679
Isopropyl AlcoholIsopropyl alcohol 700 mL/LSprayTopicalJHK Inc73598-0651
Single Antibioticbacitracin zincBacitracin zinc 500 [iU]/gOintmentTopicalSafetec of America, Inc.61010-4404
Signature Care Triple Antibioticbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalSafeway21130-448
Triple Antibiotic with Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochlorideBacitracin zinc 500 [iU]/g + 3 more ingredientsOintmentTopicalSafetec of America, Inc.61010-4401
Fresh StartchloroxylenolChloroxylenol 3 mg/mLSoapTopicalPro Chem, Inc.63830-950
Family Care First Aidbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalUnited Exchange Corp.65923-491
Ecolab Triple Antibioticbacitracin, neomycin sulfate, polymyxin b sulfateNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalEcolabs Food Safety Specialties, Inc.71338-121
Bacitracin ZincBacitracin zinc 500 [USP'U]/gOintmentTopicalEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-510
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, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalCVS Pharmacy69842-754
Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfatePolymyxin b sulfate 5000 [USP'U]/g + 2 more ingredientsOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-301
Premier Value Bacitracin Zincbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalPharmacy Value Alliance LLC68016-107

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