NDC codes

FDA NDC Directory
Product NDC (as listed)78936-401Labeler and product segments. Claims need a package NDC.
Product NDC at billing width78936-0401Add 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
78936-401-107893604011040 PATCH in 1 BOX (78936-401-10) / 17 mg in 1 PATCH (78936-401-01)Marketed from Apr 19, 2024

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)
Acne Dots
Generic name (nonproprietary)
salicylic acid
Active ingredients
Salicylic acid — 5 mg/1000mg
Dosage form
Patch
Route
Transdermal
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Identifiers
Product ID 78936-401_16596715-b3c1-1bcd-e063-6294a90a4046SPL ID 16596715-b3c1-1bcd-e063-6294a90a4046SPL set ID 16596715-b3c0-1bcd-e063-6294a90a4046RxCUI 1994404UNII O414PZ4LPZUPC 0849525138344

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. Transdermal products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N478936040110 followed by a unit qualifier and the quantity

Package 78936-0401-10. 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 Soothe and help diminish the redness and irritation of blemished skin & absorbs excess oil for faster healing.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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