NDC codes

FDA NDC Directory
Product NDC (as listed)69396-004Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0004Add 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
69396-004-2069396000420693960004201 TUBE in 1 BOX (69396-004-20) / 28.3 g in 1 TUBEMarketed from May 25, 2016

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)
Ichthammol 20%
Generic name (nonproprietary)
ichthammol
Active ingredients
Ichthammol — 20 g/100g
Dosage form
Ointment
Route
Topical
Labeler
TRIFECTA PHARMACEUTICALS USA LLCNDC labeler code 69396
Product type
Over-the-counter drug
Marketing category
Unapproved homeopathic
Marketing start
Listing expires
Identifiers
Product ID 69396-004_2a924831-5b30-7079-e063-6294a90a6806SPL ID 2a924831-5b30-7079-e063-6294a90a6806SPL set ID 9698b98c-bca1-4a7e-8a67-05d2a2b770a5UNII NQ14646378UPC 0094922072948

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

N469396000420 followed by a unit qualifier and the quantity

Package 69396-0004-20. 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)

Suggested Use • Treating insect bites and stings from mosquitoes, spider, and bees • Removing splinters and silvers • Treating plant irritations, such as nettles or poison ivy • Treating minor skin infections such as an ingrown toenail • Soothing skin relief • Apply to minor skin irritations

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69396-004

What is NDC 69396-004?
69396-004 is the product NDC for Ichthammol 20% (ichthammol), Ichthammol 20 g/100g ointment, listed with the FDA by TRIFECTA PHARMACEUTICALS USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ichthammol 20% (Ichthammol).
What is the active ingredient?
Ichthammol.
Who is the labeler?
TRIFECTA PHARMACEUTICALS USA LLC, NDC labeler code 69396. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ichthammol 20%?
1 other product NDC are listed under this name. See all Ichthammol 20% 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 Ichthammol 20% NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Ichthammol 20%ichthammolIchthammol 20 g/100gOintmentTopicalChain Drug Marketing Association, Inc.83324-04883324-0048-01

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