Over-the-counter drug · OTC MONOGRAPH DRUG
Triple Antibiotic and Pain Relief (Bacitracin,neomycin,polymyxinb,pramoxine) NDC 69396-132
Bacitracin zinc 500 [USP'U]/100g + 3 more ingredients · Ointment · Topical · Trifecta Pharmaceutical USA LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69396-132Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0132Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69396-132-01 | 6939601320169396013201 | 1 TUBE in 1 BOX (69396-132-01) / 28.3 g in 1 TUBEMarketed from Dec 7, 2023 |
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)
- Triple Antibiotic and Pain Relief
- Generic name (nonproprietary)
- bacitracin,neomycin,polymyxinb,pramoxine
- Active ingredients
- Bacitracin zinc — 500 [USP'U]/100gNeomycin sulfate — 3.5 mg/100gPramoxine hydrochloride — 10 mg/100gPolymyxin b sulfate — 10000 [USP'U]/100g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- Trifecta Pharmaceutical USA LLCNDC labeler code 69396
- 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 69396-132_2a921552-0f09-e326-e063-6394a90a422dSPL ID 2a921552-0f09-e326-e063-6394a90a422dSPL set ID 0bf08cf6-be3f-f9aa-e063-6294a90a4393RxCUI 1359350UNII 89Y4M234ES, 057Y626693, 88AYB867L5, 19371312D4UPC 0070038583158
- 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
N469396013201followed by a unit qualifier and the quantityPackage 69396-0132-01. 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 .
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.
About NDC 69396-132
- What is NDC 69396-132?
- 69396-132 is the product NDC for Triple Antibiotic and Pain Relief, Bacitracin zinc 500 [USP'U]/100g + 3 more ingredients ointment, listed with the FDA by Trifecta Pharmaceutical USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Triple Antibiotic and Pain Relief (Bacitracin,Neomycin,PolymyxinB,Pramoxine).
- What is the active ingredient?
- Bacitracin zinc, Neomycin sulfate, Pramoxine hydrochloride, Polymyxin b sulfate.
- Who is the labeler?
- Trifecta Pharmaceutical 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 Triple Antibiotic and Pain Relief?
- 2 other product NDCs are listed under this name. See all Triple Antibiotic and Pain Relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Triple Antibiotic and Pain Relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Triple Antibiotic and Pain Relieftriple antibiotic | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Target Corporation | 11673-746 | 11673-0746-28 |
| triple antibiotic and pain reliefbacitracin, neomycin, polymyxin b, pramoxine hydrochloride | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | CVS Pharmacy | 69842-562 | 69842-0562-1769842-0562-5869842-0562-64 |
Other NDCs under M 004
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| 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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