NDC codes

FDA NDC Directory
Product NDC (as listed)69842-669Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0669Add 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
69842-669-5869842066958698420669581 TUBE in 1 CARTON (69842-669-58) / 14 g in 1 TUBEMarketed from Feb 20, 2017
69842-669-6469842066964698420669641 TUBE in 1 CARTON (69842-669-64) / 28 g in 1 TUBEMarketed from Feb 22, 2017

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)
Antibiotic, Pain and Scar
Generic name (nonproprietary)
bacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hcl
Active ingredients
Bacitracin zinc — 500 [USP'U]/gNeomycin sulfate — 3.5 mg/gPolymyxin b sulfate — 10000 [USP'U]/gPramoxine hydrochloride — 10 mg/g
Dosage form
Ointment
Route
Topical
Labeler
CVS PharmacyNDC labeler code 69842
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 69842-669_8258bbb9-3538-40ef-84bd-5a24f7cbee91SPL ID 8258bbb9-3538-40ef-84bd-5a24f7cbee91SPL set ID 8bb6cb64-103f-454a-95ad-c2c56b9cf71aRxCUI 1359350UNII 89Y4M234ES, 057Y626693, 19371312D4, 88AYB867L5
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

N469842066958 followed by a unit qualifier and the quantity

Package 69842-0669-58. 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 and for temporary relief of pain or discomfort 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 69842-669

What is NDC 69842-669?
69842-669 is the product NDC for Antibiotic, Pain and Scar, Bacitracin zinc 500 [USP'U]/g + 3 more ingredients ointment, listed with the FDA by CVS Pharmacy. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Antibiotic, Pain and Scar (Bacitracin Zinc, Neomycin sulfate, Polymyxin B, Pramoxine HCl).
What is the active ingredient?
Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate, Pramoxine hydrochloride.
Who is the labeler?
CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Antibiotic, Pain and Scar?
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
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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