What is NDC 69396-041?

69396-041 is the product NDC for Family Wellness Original, Bacitracin zinc 400 [USP'U]/g + 2 more ingredients 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?

Family Wellness Original (Family Wellness Bacitracin, Neomycin, Polymyxin B).

What is the active ingredient?

Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate.

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 Original?

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 Original NDC 69396-041

NDC codes

FDA NDC Directory

Product NDC (as listed)69396-041Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69396-0041Add 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
69396-041-01	6939600410169396004101	1 TUBE in 1 BOX (69396-041-01) / 28.4 g in 1 TUBEMarketed from Sep 23, 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 Original
Generic name (nonproprietary): family wellness bacitracin, neomycin, polymyxin b
Active ingredients: Bacitracin zinc — 400 [USP'U]/gNeomycin sulfate — 3.5 mg/gPolymyxin b sulfate — 5000 [USP'U]/g
Dosage form: Ointment
Route: Topical
Labeler: Trifecta Pharmaceuticals USA LLC.NDC labeler code 69396
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 004
Marketing start: Aug 30, 2019
Listing expires: Dec 31, 2026
Other FDA classes: Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers: Product ID 69396-041_298da28b-1665-843f-e063-6294a90a2fd8SPL ID 298da28b-1665-843f-e063-6294a90a2fd8SPL set ID 915759af-0d4f-6a87-e053-2a95a90acbd6RxCUI 204602UNII 89Y4M234ES, 057Y626693, 19371312D4UPC 0032251533150
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

N469396004101 followed by a unit qualifier and the quantity

Package 69396-0041-01. 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 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 69396-041

What is NDC 69396-041?: 69396-041 is the product NDC for Family Wellness Original, Bacitracin zinc 400 [USP'U]/g + 2 more ingredients 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?: Family Wellness Original (Family Wellness Bacitracin, Neomycin, Polymyxin B).
What is the active ingredient?: Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate.
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 Original?: 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 Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Safetec of America, Inc.	61010-5603
Thompson Triple Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfate	Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients	OintmentTopical	Thompson	73408-935
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Safetec of America, Inc.	61010-5600
Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 U/g + 2 more ingredients	OintmentTopical	Fourstar Group USA, Inc	80684-198
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride	Polymyxin b sulfate 10000 [USP'U]/g + 2 more ingredients	CreamTopical	Target Corporation	11673-770
signature care first aid antibioticbacitracin	Bacitracin 500 [USP'U]/g	OintmentTopical	Safeway	21130-757
Single Antibiotic with bacitracinbacitracin zinc	Bacitracin zinc 400 [USP'U]/g	OintmentTopical	Safetec of America	61010-5601
Major Clotrimazoleclotrimazole	Clotrimazole 10 mg/g	CreamTopical	NuCare Pharmaceuticals,Inc.	66267-980
American Safety First Aid Antispeticisopropyl alcohol	Isopropyl alcohol 700 mg/1000mL	SprayTopical	Orazen Inc	71927-014
Crane Safety Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Crane Safety LLC	73408-934
First Aid Only Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 U/g + 2 more ingredients	OintmentTopical	Acme United Corporation	0924-5618
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.	83324-036
Biofreeze Professionalmenthol, unspecified form	Menthol, Unspecified form 50 mg/mL	GelTopical	NuCare Pharmaceuticals,Inc.	68071-4325
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	EVER READY FIRST AID	72976-009
InstantFoam Complete PUREalcohol	Alcohol 85.6 mL/100mL	LiquidTopical	SC Johnson Professional USA Inc.	11084-309
Fresh Startchloroxylenol	Chloroxylenol 3 mg/mL	SoapTopical	Pro Chem, Inc.	63830-950
berkley and jensen triple antibioticbacitracin zinc, neomycin, polymyxin b	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	BJWC	68391-207
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfate	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Lidl US, LLC	71141-134
Hermon bed sore and pressure sore creamcalendula officinalis1x hpus 1.5%	Calendula officinalis flower 1.5 [hp_X]/120g	CreamTopical	Beautivity LLC	85398-023
Exchange Select First Aid Triple Anitbiotic Pain Relievingbacitracin, neomycin, polymyxin b, pramoxine hcl	Bacitracin zinc 500 [USP'U]/g + 3 more ingredients	OintmentTopical	Army & Air Force Exchange Service	55301-123

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