NDC codes

FDA NDC Directory
Product NDC (as listed)67777-217Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0217Add 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
67777-217-086777702170867777021708100 BOX in 1 CASE (67777-217-08) / 10 PACKET in 1 BOX (67777-217-04) / .5 g in 1 PACKETMarketed from Dec 1, 2009
67777-217-11677770217116777702171172 BOX in 1 CASE (67777-217-11) / 1 TUBE in 1 BOX (67777-217-10) / 28.35 g in 1 TUBE (67777-217-01)Marketed from Dec 1, 2009
67777-217-13677770217136777702171372 BOX in 1 CASE (67777-217-13) / 1 TUBE in 1 BOX (67777-217-12) / 14.17 g in 1 TUBE (67777-217-02)Marketed from Dec 1, 2009
67777-217-15677770217156777702171512 BOX in 1 CASE (67777-217-15) / 144 PACKET in 1 BOX (67777-217-14) / .9 g in 1 PACKET (67777-217-07)Marketed from Dec 1, 2009
67777-217-17677770217176777702171712 BOX in 1 CASE (67777-217-17) / 144 PACKET in 1 BOX (67777-217-16) / .5 g in 1 PACKET (67777-217-05)Marketed from Dec 1, 2009

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

Generic name (nonproprietary)
bacitracin zinc, neomycin sulfate and polymyxin b sulfate
Active ingredients
Bacitracin zinc — 400 [iU]/gNeomycin sulfate — 5 mg/gPolymyxin b sulfate — 5000 [iU]/g
Dosage form
Ointment
Route
Topical
Labeler
Dynarex CorporationNDC labeler code 67777
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 67777-217_5c2bc061-a88e-dfc1-e063-6294a90a4645SPL ID 5c2bc061-a88e-dfc1-e063-6294a90a4645
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

N467777021708 followed by a unit qualifier and the quantity

Package 67777-0217-08. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 67777-217

What is NDC 67777-217?
67777-217 is the product NDC for bacitracin zinc, neomycin sulfate and polymyxin b sulfate, Bacitracin zinc 400 [iU]/g + 2 more ingredients ointment, listed with the FDA by Dynarex Corporation. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
bacitracin zinc, neomycin sulfate and polymyxin b sulfate.
What is the active ingredient?
Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate.
Who is the labeler?
Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for bacitracin zinc, neomycin sulfate and polymyxin b sulfate?
1 other product NDC are listed under this name. See all bacitracin zinc, neomycin sulfate and polymyxin b sulfate 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 bacitracin zinc, neomycin sulfate and polymyxin b sulfate NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Bacitracin Zinc, Neomycin Sulfate, and Polymyxin B SulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalHenry Schein0404-016700404-0167-50

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 Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalSafetec of America, Inc.61010-5603
Thompson Triple Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfatePolymyxin b sulfate 5000 [USP'U]/g + 2 more ingredientsOintmentTopicalThompson73408-935
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalSafetec of America, Inc.61010-5600
Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalFourstar Group USA, Inc80684-198
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloridePolymyxin b sulfate 10000 [USP'U]/g + 2 more ingredientsCreamTopicalTarget Corporation11673-770
signature care first aid antibioticbacitracinBacitracin 500 [USP'U]/gOintmentTopicalSafeway21130-757
Single Antibiotic with bacitracinbacitracin zincBacitracin zinc 400 [USP'U]/gOintmentTopicalSafetec of America61010-5601
Major ClotrimazoleclotrimazoleClotrimazole 10 mg/gCreamTopicalNuCare Pharmaceuticals,Inc.66267-980
American Safety First Aid Antispeticisopropyl alcoholIsopropyl alcohol 700 mg/1000mLSprayTopicalOrazen Inc71927-014
Crane Safety Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCrane Safety LLC73408-934
First Aid Only Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalAcme United Corporation0924-5618
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-036
Biofreeze Professionalmenthol, unspecified formMenthol, Unspecified form 50 mg/mLGelTopicalNuCare Pharmaceuticals,Inc.68071-4325
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalEVER READY FIRST AID72976-009
InstantFoam Complete PUREalcoholAlcohol 85.6 mL/100mLLiquidTopicalSC Johnson Professional USA Inc.11084-309
Fresh StartchloroxylenolChloroxylenol 3 mg/mLSoapTopicalPro Chem, Inc.63830-950
berkley and jensen triple antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalBJWC68391-207
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalLidl US, LLC71141-134
Hermon bed sore and pressure sore creamcalendula officinalis1x hpus 1.5%Calendula officinalis flower 1.5 [hp_X]/120gCreamTopicalBeautivity LLC85398-023
Exchange Select First Aid Triple Anitbiotic Pain Relievingbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalArmy & Air Force Exchange Service55301-123

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