NDC codes

FDA NDC Directory
Product NDC (as listed)58988-1170Labeler and product segments. Claims need a package NDC.
Product NDC at billing width58988-1170Add 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
58988-1170-158988117001589881170011 TUBE in 1 CARTON (58988-1170-1) / 28.35 g in 1 TUBEMarketed from May 31, 2013

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Cuadriderma
Generic name (nonproprietary)
bacitracin zinc, polymyxin b sulfate, neomycin sulfate, and pramoxine hydrochloride
Active ingredients
Bacitracin zinc — 500 [iU]/gPolymyxin b sulfate — 10000 [iU]/gNeomycin sulfate — 3.5 mg/gPramoxine hydrochloride — 10 mg/g
Dosage form
Ointment
Route
Topical
Labeler
ProMex LLCNDC labeler code 58988
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 58988-1170_ea8f2105-b483-4ecb-b1a9-babd58f2e44aSPL ID ea8f2105-b483-4ecb-b1a9-babd58f2e44aSPL set ID 4fa99b96-ab4b-4523-82bc-343dbaf39fb6RxCUI 1359350, 1673566UNII 89Y4M234ES, 19371312D4, 057Y626693, 88AYB867L5
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

N458988117001 followed by a unit qualifier and the quantity

Package 58988-1170-01. 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 .

Indications (excerpt from the label)

Uses helps prevent infection in and temporarily relieves pain due to * minor cuts * scrapes * burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 58988-1170

What is NDC 58988-1170?
58988-1170 is the product NDC for Cuadriderma, Bacitracin zinc 500 [iU]/g + 3 more ingredients ointment, listed with the FDA by ProMex LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Cuadriderma (Bacitracin Zinc, Polymyxin B Sulfate, Neomycin Sulfate, and PRAMOXINE HYDROCHLORIDE).
What is the active ingredient?
Bacitracin zinc, Polymyxin b sulfate, Neomycin sulfate, Pramoxine hydrochloride.
Who is the labeler?
ProMex LLC, NDC labeler code 58988. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Cuadriderma?
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 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
Triple Antibiotic plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalSTRATEGIC SOURCING SERVICES LLC70677-1219
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalSTRATEGIC SOURCING SERVICES LLC70677-1217
Walgreens Arthritis Pain Relief Capsaicin AnalgesiccapsaicinCapsaicin 1 mg/gCreamTopicalWalgreen Company0363-0837
DERMFREE Triple Antibiotictriple antibioticNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-117
Bacitracin ZincBacitracin zinc 500 [USP'U]/gOintmentTopicalTrifecta Pharmaceuticals USA LLC69396-163
Triple Antibiotic plus Lidocainebacitracin zinc, neomycin sulfate , polymyxin b sulfate, lidocaineBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalTRIFECTA PHARMACEUTICALS USA LLC69396-154
Antibioticbacitracin zinc, polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalCVS PHARMACY, INC51316-044
Major Triple Antibioticbacitracin zinc, neomycin, polymyxin b sulfatNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalMajor Pharmaceuticals0904-8805
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalAcme United Corporation0924-5604
Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate.Bacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalTRIFECTA PHARMACEUTICALS USA LLC69396-162
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790
Simply Neosporin First Aid Antibioticbacitracin zinc and polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalKenvue Brands LLC69968-0612
Freshands Premium Foamy Antibacterial Handsoap 6876chloroxylenolChloroxylenol 3 mg/mLSoapTopicalConsolidated Chemicals, LLC75632-876
Antibiotic, Pain and Scarbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalCVS Pharmacy69842-669
triple antibioticbacitracin, neomycin, polymyxin b, pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalPublix Super Markets Inc56062-679
Xpect Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalCintas Corporation42961-236
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-264
Redicare Triple Antibiotic First Aidtriple antibiotic first aid ointmentBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalRedicare LLC71105-560
First Aid Antibioticbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalTARGET Corporation11673-396
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

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