NDC codes

FDA NDC Directory
Product NDC (as listed)58657-477Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58657-0477Add 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
58657-477-065865704770658657047706177 g in 1 BOTTLE (58657-477-06)Marketed from Jan 15, 2022
58657-477-125865704771258657047712355 g in 1 BOTTLE (58657-477-12)Marketed from Jan 15, 2022
58657-477-165865704771658657047716480 g in 1 BOTTLE (58657-477-16)Marketed from Jan 15, 2022

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)
Sodium Sulfacetamide
Generic name (nonproprietary)
sodium sulfacetamide
Active ingredients
Sulfacetamide sodium — 100 mg/g
Dosage form
Liquid
Route
Topical
Labeler
Method Pharmaceuticals, LLCNDC labeler code 58657
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Sulfonamides (Chemical structure)
Identifiers
Product ID 58657-477_4aad445c-77e0-b8cd-e063-6394a90afd06SPL ID 4aad445c-77e0-b8cd-e063-6394a90afd06SPL set ID d65e777b-682b-732d-e053-2a95a90a41adRxCUI 1006107UNII 4NRT660KJQ
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

N458657047706 followed by a unit qualifier and the quantity

Package 58657-0477-06. 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 This product is intended for topical application in the following scaling dermatoses: seborrheic dermatitis and seborrhea sicca (dandruff). It also is indicated for the treatment of secondary bacterial infections of the skin due to organisms susceptible to sulfonamides.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58657-477

What is NDC 58657-477?
58657-477 is the product NDC for Sodium Sulfacetamide, Sulfacetamide sodium 100 mg/g liquid, listed with the FDA by Method Pharmaceuticals, LLC. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Sodium Sulfacetamide.
What is the active ingredient?
Sulfacetamide sodium.
Who is the labeler?
Method Pharmaceuticals, LLC, NDC labeler code 58657. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Sodium Sulfacetamide?
13 other product NDCs are listed under this name. See all Sodium Sulfacetamide 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 Sodium Sulfacetamide NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Sodium SulfacetamideSulfacetamide sodium 100 mg/mLLiquidTopicalAkron Pharma Inc71399-048071399-0480-0271399-0480-0671399-0480-08
Sodium SulfacetamideSulfacetamide sodium 100 mg/mLShampooTopicalAkron Pharma Inc71399-159971399-1599-08
Sodium SulfacetamideSulfacetamide sodium 100 mg/mLShampooTopicalLaser Pharmaceuticals, LLC16477-41116477-0411-08
Sodium SulfacetamideSulfacetamide sodium 100 mg/gLiquidTopicalBryant Ranch Prepack63629-926263629-9262-01
Sodium SulfacetamideSulfacetamide sodium 100 mg/gLiquidTopicalBryant Ranch Prepack63629-926363629-9263-01
Sodium SulfacetamideSulfacetamide sodium 100 mg/gLiquidTopicalBryant Ranch Prepack63629-926463629-9264-01
Sodium SulfacetamideSulfacetamide sodium 100 mg/gLiquidTopicalBryant Ranch Prepack72162-166572162-1665-0272162-1665-0472162-1665-07
Sodium SulfacetamideSulfacetamide sodium 100 mg/mLLiquidTopicalLaser Pharmaceuticals, LLC16477-41016477-0410-0616477-0410-12
Sodium sulfacetamideSulfacetamide sodium 100 mg/mLLotionTopicalOceanside Pharmaceuticals68682-01068682-0010-04
Sodium SulfacetamideSulfacetamide sodium 100 mg/mLLiquidTopicalBioComp Pharma, Inc.44523-60644523-0606-1244523-0606-16

All 14 Sodium Sulfacetamide NDCs

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