What is NDC 69396-037?

69396-037 is the product NDC for Family Wellness First Aid Antibiotic, Polymyxin b sulfate 10000 [USP'U]/g; Bacitracin zinc 500 [USP'U]/g ointment, listed with the FDA by Trifecta Pharmaceuticals USA, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Family Wellness First Aid Antibiotic (Family Wellness bacitracin zinc, polymyxin B sulfate).

What is the active ingredient?

Polymyxin b sulfate, Bacitracin zinc.

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 Family Wellness First Aid Antibiotic?

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.

Family Wellness First Aid Antibiotic NDC 69396-037

NDC codes

FDA NDC Directory

Product NDC (as listed)69396-037Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69396-0037Add 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 NDC	11-digit (billing)	Package	Copy
69396-037-04	6939600370469396003704	1 TUBE in 1 BOX (69396-037-04) / 14.2 g in 1 TUBEMarketed from Jan 10, 2020
69396-037-05	6939600370569396003705	1 TUBE in 1 BOX (69396-037-05) / 15 g in 1 TUBEMarketed from Aug 30, 2019

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): Family Wellness First Aid Antibiotic
Generic name (nonproprietary): family wellness bacitracin zinc, polymyxin b sulfate
Active ingredients: Polymyxin b sulfate — 10000 [USP'U]/gBacitracin zinc — 500 [USP'U]/g
Dosage form: Ointment
Route: Topical
Labeler: Trifecta Pharmaceuticals USA, LLCNDC labeler code 69396
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 004
Marketing start: Aug 29, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers: Product ID 69396-037_298d8c06-7975-7cc0-e063-6394a90a3e43SPL ID 298d8c06-7975-7cc0-e063-6394a90a3e43SPL set ID 9157681a-3ed1-096e-e053-2a95a90a05e3RxCUI 308512UNII 19371312D4, 89Y4M234ES
Pharmacologic class: 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

N469396003704 followed by a unit qualifier and the quantity

Package 69396-0037-04. 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 Dec 18, 2024.

Indications (excerpt from the label)

Uses First aid to help prevent infection in minor cuts scrapes burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69396-037

What is NDC 69396-037?: 69396-037 is the product NDC for Family Wellness First Aid Antibiotic, Polymyxin b sulfate 10000 [USP'U]/g; Bacitracin zinc 500 [USP'U]/g ointment, listed with the FDA by Trifecta Pharmaceuticals USA, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Family Wellness First Aid Antibiotic (Family Wellness bacitracin zinc, polymyxin B sulfate).
What is the active ingredient?: Polymyxin b sulfate, Bacitracin zinc.
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 Family Wellness First Aid Antibiotic?: 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
Product	Strength	Form · route	Labeler	Product NDC
Triple Antibiotic plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	STRATEGIC SOURCING SERVICES LLC	70677-1219
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	STRATEGIC SOURCING SERVICES LLC	70677-1217
Walgreens Arthritis Pain Relief Capsaicin Analgesiccapsaicin	Capsaicin 1 mg/g	CreamTopical	Walgreen Company	0363-0837
DERMFREE Triple Antibiotictriple antibiotic	Neomycin sulfate 3.5 mg/g + 2 more ingredients	OintmentTopical	Jiangxi Yudexi Pharmaceutical Co., LTD	85248-117
Bacitracin Zinc	Bacitracin zinc 500 [USP'U]/g	OintmentTopical	Trifecta Pharmaceuticals USA LLC	69396-163
Triple Antibiotic plus Lidocainebacitracin zinc, neomycin sulfate , polymyxin b sulfate, lidocaine	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	TRIFECTA PHARMACEUTICALS USA LLC	69396-154
Antibioticbacitracin zinc, polymyxin b sulfate	Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g	OintmentTopical	CVS PHARMACY, INC	51316-044
Major Triple Antibioticbacitracin zinc, neomycin, polymyxin b sulfat	Neomycin sulfate 3.5 mg/g + 2 more ingredients	OintmentTopical	Major Pharmaceuticals	0904-8805
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Acme United Corporation	0924-5604
Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate.	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	TRIFECTA PHARMACEUTICALS USA LLC	69396-162
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride	Neomycin sulfate 3.5 mg/g + 2 more ingredients	CreamTopical	Kroger Company	30142-790
Simply Neosporin First Aid Antibioticbacitracin zinc and polymyxin b sulfate	Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g	OintmentTopical	Kenvue Brands LLC	69968-0612
Freshands Premium Foamy Antibacterial Handsoap 6876chloroxylenol	Chloroxylenol 3 mg/mL	SoapTopical	Consolidated Chemicals, LLC	75632-876
Antibiotic, Pain and Scarbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hcl	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	CVS Pharmacy	69842-669
triple antibioticbacitracin, neomycin, polymyxin b, pramoxine hydrochloride	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Publix Super Markets Inc	56062-679
Xpect Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Cintas Corporation	42961-236
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Chain Drug Marketing Association Inc.	83324-264
Redicare Triple Antibiotic First Aidtriple antibiotic first aid ointment	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Redicare LLC	71105-560
First Aid Antibioticbacitracin zinc	Bacitracin zinc 500 [USP'U]/g	OintmentTopical	TARGET Corporation	11673-396
Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients	OintmentTopical	Nantong Health & Beyond Hygienic Products Inc.	43473-301

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