hydrocortisone acetate pramoxine HCl NDC 52817-817

NDC codes

FDA NDC Directory

Product NDC (as listed)52817-817Labeler and product segments. Claims need a package NDC.

Product NDC at billing width52817-0817Add 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
52817-817-01	52817081701	1 TUBE in 1 CARTON (52817-817-01) / 28.4 g in 1 TUBEMarketed from Nov 19, 2020

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): hydrocortisone acetate pramoxine HCl
Generic name (nonproprietary): hydrocortisone acetate, pramoxine hcl
Active ingredients: Hydrocortisone acetate — 2.5 g/100gPramoxine hydrochloride — 1 g/100g
Dosage form: Cream
Route: Topical
Labeler: TRUPHARMA, LLC
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Nov 19, 2020
Listing expires: Dec 31, 2026
Other FDA classes: Corticosteroid Hormone Receptor Agonists (Mechanism)
Identifiers: Product ID 52817-817_2a458b2c-3556-7f1e-e063-6294a90a074cSPL ID 2a458b2c-3556-7f1e-e063-6294a90a074cSPL set ID f531fa34-5711-42d0-82c4-3b9943cdcca9RxCUI 1234506UNII 3X7931PO74, 88AYB867L5UPC 0352817817013, 0000000795876
Pharmacologic class: Corticosteroid

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

N452817081701 followed by a unit qualifier and the quantity

Package 52817-0817-01. 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

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