What is NDC 55621-017?

55621-017 is the product NDC for Modesa Acne Treatment (benzoyl peroxide), Benzoyl peroxide 10 g/100g cream, listed with the FDA by Zhejiang Jingwei Pharmaceutic Al Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Modesa Acne Treatment (Benzoyl peroxide).

Zhejiang Jingwei Pharmaceutic Al Co., Ltd., NDC labeler code 55621. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Modesa Acne Treatment?

None: this is the only finished product listed under this name.

Is there a related HCPCS / J-code?

Not in Med-Code's curated HCPCS directory.

Modesa Acne Treatment NDC 55621-017

NDC codes

FDA NDC Directory

Product NDC (as listed)55621-017Labeler and product segments. Claims need a package NDC.

Product NDC at billing width55621-0017Add 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
55621-017-01	5562100170155621001701	1 TUBE in 1 CARTON (55621-017-01) / 28 g in 1 TUBEMarketed from Aug 20, 2017

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): Modesa Acne TreatmentSuffix: Acne Treatment
Generic name (nonproprietary): benzoyl peroxide
Active ingredients: Benzoyl peroxide — 10 g/100g
Dosage form: Cream
Route: Topical
Labeler: Zhejiang Jingwei Pharmaceutic Al Co., Ltd.NDC labeler code 55621
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 006
Marketing start: Aug 20, 2017
Listing expires: Dec 31, 2026
Identifiers: Product ID 55621-017_08ad180e-e886-ba6f-e063-6394a90a2bc7SPL ID 08ad180e-e886-ba6f-e063-6394a90a2bc7SPL set ID dbfe8b9e-e343-4ed5-bd81-01b27b4aa912RxCUI 106315UNII W9WZN9A0GM

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

N455621001701 followed by a unit qualifier and the quantity

Package 55621-0017-01. 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 Oct 27, 2023.

Indications (excerpt from the label)

for the treatment and prevention of acne pimples Uses

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 55621-017

What is NDC 55621-017?: 55621-017 is the product NDC for Modesa Acne Treatment (benzoyl peroxide), Benzoyl peroxide 10 g/100g cream, listed with the FDA by Zhejiang Jingwei Pharmaceutic Al Co., Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Modesa Acne Treatment (Benzoyl peroxide).
What is the active ingredient?: Benzoyl peroxide.
Who is the labeler?: Zhejiang Jingwei Pharmaceutic Al Co., Ltd., NDC labeler code 55621. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Modesa Acne Treatment?: None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?: Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 006

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 006
Product	Strength	Form · route	Labeler	Product NDC
Differin Acne Clearing Body Washsalicylic acid	Salicylic acid 20 mg/mL	GelTopical	Galderma Laboratories, L.P.	0299-4131
Clearing Skin Washsalicylic acid	Salicylic acid .501 mg/100mL	LiquidTopical	Dermalogica, LLC.	68479-942
PCA SKIN Intensive Clarity Treatmentsalicylic acid	Salicylic acid 2 g/100g	GelTopical	CP Skin Health Group, Inc.	68726-359
Clear Med 10%benzoyl peroxide	Benzoyl peroxide 10 g/100mL	LotionTopical	CONTROL CORRECTIVE SKINCARE INC	70764-107
Margarite Zinc Creamzinc cream	Sulfur 1.12 g/28g	CreamTopical	Renu Laboratories, LLC	76348-413
Acne Washsalicylic acid	Salicylic acid 1 mg/100mg	LiquidTopical	Target Corporation	82442-805
Proactiv Clean Mineral Acne Cleansersulfur	Sulfur 3 g/100mL	CreamTopical	Alchemee, LLC	11410-457
Almay Clear Complexion Makeup Warm Beigesalicylic acid	Salicylic acid 2 mg/2mL	LiquidTopical	Almay	0311-0747
PanOxyl Acne Clearing Spot Treatmentbenzoyl peroxide	Benzoyl peroxide 100 mg/g	GelTopical	Crown Laboratories	0316-0298
Exfo Tonic Acne Treatmentsalicylic acid	Salicylic acid 2 g/100mL	SolutionTopical	CONTROL CORRECTIVE SKINCARE INC	70764-104
Acne Spot Treatmentsalicylic acid	Salicylic acid 2 g/100mL	GelTopical	CONTROL CORRECTIVE SKINCARE INC	70764-105
Tula Skincare Breakout Star Lightweight Acne Moisturizersalicylic acid	Salicylic acid 2 g/100mL	CreamTopical	The Procter & Gamble Manufacturing Company	84126-229
DermaClear BHA Spot Treatmentsalicylic acid	Salicylic acid 2 mg/g	GelTopical	Allure Labs	62742-4195
Magnilife Eczema Caresulfur, graphite, daphne mezereum bark, toxicodendron pubescens whole	Sulfur 1 [hp_X]/g + 3 more ingredients	CreamTopical	The Magni Group, Inc.	43689-0035
Clear Med 5%benzoyl peroxide	Benzoyl peroxide 5 g/100mL	LotionTopical	CONTROL CORRECTIVE SKINCARE INC	70764-106
Up and Up Blemish Controlling Apricot Scrubsalicylic acid	Salicylic acid 20 mg/g	EmulsionTopical	TARGET CORPORATION	11673-930
Neutrogena Stubborn Blackheads Daily Serumsalicylic acid	Salicylic acid 5 mg/mL	LotionTopical	Kenvue Brands LLC	69968-0703
DermaClear Serumsalicylic acid	Salicylic acid 20 mg/mL	CreamTopical	Allure Labs Inc	62742-4069
AcNe solutionsalicylic acid	Salicylic acid .15 g/30g	CreamTopical	Noon Aesthetics M.R. Ltd	78863-1220
Kroger Clarify Care Acne Washsalicylic acid	Salicylic acid 20 mg/mL	LiquidTopical	THE KROGER COMPANY	30142-945

Showing 20 of 40.

Modesa Acne Treatment (Benzoyl peroxide) NDC 55621-017