NDC codes

FDA NDC Directory
Product NDC (as listed)57883-404Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57883-0404Add 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
57883-404-10578830404105788304041010 PACKET in 1 CARTON (57883-404-10) / 4 g in 1 PACKET (57883-404-01)Marketed from Sep 1, 2005 · Sample package
57883-404-60578830404605788304046060 PACKET in 1 CARTON (57883-404-60) / 4 g in 1 PACKET (57883-404-01)Marketed from Sep 1, 2005

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)
Plexion
Generic name (nonproprietary)
sulfacetamide sodium, sulfur
Active ingredients
Sulfacetamide sodium — 98 mg/gSulfur — 48 mg/g
Dosage form
Cloth
Route
Topical
Labeler
Brava Pharmaceuticals, LLCNDC labeler code 57883
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Marketing end
Other FDA classes
Sulfonamides (Chemical structure)
Identifiers
Product ID 57883-404_463d23fc-cb49-0346-e063-6394a90a2df2SPL ID 463d23fc-cb49-0346-e063-6394a90a2df2SPL set ID 8211c8ec-b501-4ac6-8185-b4b9758cdc1aRxCUI 1494170, 1494827UNII 4NRT660KJQ, 70FD1KFU70
Pharmacologic class
Sulfonamide 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

N457883040410 followed by a unit qualifier and the quantity

Package 57883-0404-10. 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)

INDICATIONS AND USAGE: This product is indicated for use in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 57883-404

What is NDC 57883-404?
57883-404 is the product NDC for Plexion, Sulfacetamide sodium 98 mg/g; Sulfur 48 mg/g cloth, listed with the FDA by Brava Pharmaceuticals, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Plexion (Sulfacetamide sodium, Sulfur).
What is the active ingredient?
Sulfacetamide sodium, Sulfur.
Who is the labeler?
Brava Pharmaceuticals, LLC, NDC labeler code 57883. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Plexion?
6 other product NDCs are listed under this name. See all Plexion 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 Plexion NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Plexionsulfacetamide sodium, sulfurSulfacetamide sodium 98 mg/g; Sulfur 48 mg/gLiquidTopicalCintex Services, LLC24470-94124470-0941-10
Plexionsulfacetamide sodium, sulfurSulfur 48 mg/g; Sulfacetamide sodium 98 mg/gCreamTopicalCintex Services, LLC24470-94224470-0942-02
Plexionsulfacetamide sodium, sulfurSulfur 48 mg/g; Sulfacetamide sodium 98 mg/gLotionTopicalCintex Services, LLC24470-94424470-0944-02
Plexionsulfacetamide sodium, sulfurSulfur 48 mg/g; Sulfacetamide sodium 98 mg/gCreamTopicalEckson Labs LLC44118-70144118-0701-02
Plexionsulfacetamide sodium, sulfurSulfur 48 mg/g; Sulfacetamide sodium 98 mg/gLotionTopicalEckson Labs LLC44118-70344118-0703-02
Plexionsulfacetamide sodium, sulfurSulfacetamide sodium 98 mg/g; Sulfur 48 mg/gLiquidTopicalEckson Labs, LLC44118-70044118-0700-10

Free account

Log in to keep searching

You’ve used your 3 free searches. Med-Code is free: log in or create a free profile to keep looking up NDCs, J-codes and drugs.

Create a free profileLog in