NDC codes

FDA NDC Directory
Product NDC (as listed)66096-168Labeler and product segments. Claims need a package NDC.
Product NDC at billing width66096-0168Add 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
66096-168-05660960168056609601680559 mL in 1 PACKAGE (66096-168-05)Marketed from May 21, 2015

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)
Acne Relief
Generic name (nonproprietary)
antimonium crud, arsenicum brom, bovista, eugenia jamb, fluoricum acidum, hepar sulph calc, kali brom, kali iod, kali mur, nat brom, niccolum sulph, phosphoricum ac, sulphur iod.
Active ingredients
Antimony trisulfide — 6 [hp_X]/59mLArsenic tribromide — 30 [hp_C]/59mLLycoperdon utriforme fruiting body — 30 [hp_C]/59mLSyzygium jambos seed — 14 [hp_X]/59mLHydrofluoric acid — 30 [hp_C]/59mLCalcium sulfide — 30 [hp_C]/59mLPotassium bromide — 3 [hp_X]/59mLPotassium iodide — 3 [hp_X]/59mLPotassium chloride — 6 [hp_X]/59mLSodium bromide — 4 [hp_X]/59mLNickel sulfate hexahydrate — 4 [hp_X]/59mLPhosphoric acid — 30 [hp_C]/59mLSulfur iodide — 14 [hp_X]/59mL
Dosage form
Liquid
Route
Oral
Labeler
OHM PHARMA INC.NDC labeler code 66096
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Other FDA classes
Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers
Product ID 66096-168_d44ad1d9-cfa1-62c1-e053-2a95a90a323eSPL ID d44ad1d9-cfa1-62c1-e053-2a95a90a323eSPL set ID 8ecc9282-3aa4-47f1-a928-89280b2cd806UNII F79059A38U, 41CN475O7F, K2A74U428F, 97P0H45869, RGL5YE86CZ, 1MBW07J51Q, OSD78555ZM, 1C4QK22F9J, 660YQ98I10, LC1V549NOM, JC9WZ4FK68, E4GA8884NN, L6L8KA2AA0UPC 0366096168056
Pharmacologic class
Osmotic Laxative; Potassium Salt

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N466096016805 followed by a unit qualifier and the quantity

Package 66096-0168-05. 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: Temporarily relieves pustular eruptions, acne simplex and indurate. Helps prevent recurrence of bluish red and acne eruptions.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 66096-168

What is NDC 66096-168?
66096-168 is the product NDC for Acne Relief, Antimony trisulfide 6 [hp_X]/59mL + 12 more ingredients liquid, listed with the FDA by OHM PHARMA INC.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Acne Relief (Antimonium Crud, Arsenicum Brom, Bovista, Eugenia Jamb, Fluoricum Acidum, Hepar Sulph Calc, Kali Brom, Kali Iod, Kali Mur, Nat Brom, Niccolum Sulph, Phosphoricum AC, Sulphur Iod.).
What is the active ingredient?
Antimony trisulfide, Arsenic tribromide, Lycoperdon utriforme fruiting body, Syzygium jambos seed, Hydrofluoric acid, Calcium sulfide, Potassium bromide, Potassium iodide, Potassium chloride, Sodium bromide, Nickel sulfate hexahydrate, Phosphoric acid, Sulfur iodide.
Who is the labeler?
OHM PHARMA INC., NDC labeler code 66096. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Acne Relief?
3 other product NDCs are listed under this name. See all Acne Relief 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 Acne Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Acne Reliefsalicylic acid,niacinamide,panthenol.Salicylic acid 500 mg/50mL + 4 more ingredientsCreamTopicalGuangzhou Senmai Biotechnology Co.,Ltd.84509-11484509-0114-01
Acne Reliefbelladonna, silicea, graphites, hepar sulphuris calcareum, kali bromatum, ledum palustre, natrum muriaticum, selenium, sulphurAtropa belladonna 6 [hp_X]/1 + 8 more ingredientsTablet, ChewableOralNaturalCare70163-003870163-0038-01
Acne Reliefpotassium bromide, syzygium jambos seed, seleniumPotassium bromide 30 [hp_C]/1 + 2 more ingredientsPelletOralBoiron0220-910100220-9101-43

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