NDC codes

FDA NDC Directory
Product NDC (as listed)62742-4107Labeler and product segments. Claims need a package NDC.
Product NDC at billing width62742-4107Add 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
62742-4107-162742410701177 mL in 1 BOTTLE, PLASTIC (62742-4107-1)Marketed from Dec 1, 2017

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)
Acne Cleanser W/ Salicylic Acid
Generic name (nonproprietary)
salicylic acid
Active ingredients
Salicylic acid20 mg/mL
Dosage form
Cream
Route
Topical
Product type
Over-the-counter drug
Marketing category
OTC monograph (final)Application part333D
Marketing start
Listing expires
Identifiers
Product ID 62742-4107_90190c04-8a2c-40ab-be29-1ff26c488935SPL ID 90190c04-8a2c-40ab-be29-1ff26c488935SPL set ID 6f831f09-03c2-49a4-b677-626005777126RxCUI 562600UNII O414PZ4LPZ

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

N462742410701 followed by a unit qualifier and the quantity

Package 62742-4107-01. 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: Treats acne dries up acne help prevent new acne

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under part333D

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

FDA NDC Directory listings under part333D
ProductStrengthForm · routeLabelerProduct NDC
Skin Pharmacy Advanced Acne Therapy Pore Refining Facial Masksalicylic acidSalicylic acid 5 g/2mLLiquidTopicalAMCOL Health & Beauty Solutions, Inc. DBA68634-058
Skin Pharmacy Advanced Acne Therapy Overnight Salicylic Acidsalicylic acidSalicylic acid 20 g/2mLLiquidTopicalAMCOL Health & Beauty Solutions, Inc. DBA68634-057
Well at Walgreens Blemish and Blackhead Control Apricotsalicylic acidSalicylic acid .02 g/gLiquidTopicalWalgreen Company0363-0830
Salicylic AcidSalicylic acid 2 g/100gSoapTopicalD3 Development, Inc.71819-003
Skin Pharmacy Advanced Acne Therapy Targeted Treatment Wipesbenzoyl peroxideBenzoyl peroxide 25 mg/mLSwabTopicalAMCOL Health & Beauty Solutions, Inc. DBA68634-068
Cover FX Mattifying Primer Plus Acne Treatmentsalicylic acidSalicylic acid 1 g/100mLGelTopicalCover FX Skin Care Inc68327-073
Skin Pharmacy Advanced Acne Therapy Kitsalicylic acid, benzoyl peroxideKitTopicalAMCOL Health & Beauty Solutions, Inc. DBA68634-067
Skin Pharmacy Advanced Acne Therapy Clarifying Daily Cleansersalicylic acidSalicylic acid 20 g/2mLLiquidTopicalAMCOL Health & Beauty Solutions, Inc. DBA68634-064
MG217 Psoriasissalicylic acidSalicylic acid .03 g/gShampooTopicalWisconsin Pharmacal Company68093-7203
SkinPharmacy Advanced Acne Therapy Spot Treatmentbenzoyl peroxideBenzoyl peroxide 50 mg/mLLiquidTopicalCVS Health69842-023
Skinpharmacy Advanced Acne Therapy Overnight Salicylic Acidsalicylic acidSalicylic acid 20 mg/mLLiquidTopicalCVS Health69842-066
Skin Pharmacy Advanced Acne Therapy Clarifying Daily Cleansersalicylic acidSalicylic acid 20 mg/mLLiquidTopicalCVS Health69842-064
Skinpharmacy Advanced Acne Therapy Pore Refining Facial Masksalicylic acidSalicylic acid 5 mg/mLLiquidTopicalCVS Health69842-077
SkinPharmacy Advanced Acne Therapy Active Clearingbenzoyl peroxideBenzoyl peroxide 25 mg/mLLiquidTopicalCVS Health69842-076
SkinPharmacy Advanced Acne Therapy Targeted Treatment Wipesbenzoyl peroxideBenzoyl peroxide 25 mg/mLSwabTopicalCVS Health69842-081
Nas Max Strength Spot Treatmentsalicylic acidSalicylic acid 2 g/100gCreamTopicalBURT'S BEES, INC.26052-022
SkinPharmacy Advanced Acne Therapy Kitsalicylic acid, benzoyl peroxideKitTopicalCVS Health69842-082
Acne Advanced Cleansingsalicylic acidSalicylic acid 10 mg/mLLiquidTopicalEminence Organic Skin Care Ltd.15751-3010
Cleansing Wipessalicylic acidSalicylic acid 2 g/100mLSwabTopicalNextcell Medical71613-001
Acne LotionSulfur SulfursulfurSulfur 30 mg/mLLotionTopicalAllure Labs Inc62742-4169

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