NDC codes

FDA NDC Directory
Product NDC (as listed)80489-012Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80489-0012Add 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
80489-012-0180489001201804890012011 TUBE in 1 CARTON (80489-012-01) / 14 g in 1 TUBEMarketed from Feb 16, 2021
80489-012-0280489001202804890012021 TUBE in 1 CARTON (80489-012-02) / 28.3 g in 1 TUBEMarketed from Feb 16, 2021

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)
Drs. pharmacy triple antibiotic
Generic name (nonproprietary)
bacitracin zinc, polymyxin b sulfate, neomycin sulfate ointment
Active ingredients
Neomycin sulfate — 3.5 mg/gBacitracin zinc — 400 [USP'U]/gPolymyxin b sulfate — 5000 [USP'U]/g
Dosage form
Ointment
Route
Topical
Labeler
OL PHARMA TECH, LLCNDC labeler code 80489
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 003
Marketing start
Listing expires
Other FDA classes
Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers
Product ID 80489-012_2b51ff20-db0e-8b5d-e063-6294a90a88d0SPL ID 2b51ff20-db0e-8b5d-e063-6294a90a88d0SPL set ID bb730976-0045-c0ae-e053-2a95a90af34eRxCUI 204602UNII 057Y626693, 89Y4M234ES, 19371312D4
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

N480489001201 followed by a unit qualifier and the quantity

Package 80489-0012-01. 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.

Full label on DailyMed (opens in a new tab)

About NDC 80489-012

What is NDC 80489-012?
80489-012 is the product NDC for Drs. pharmacy triple antibiotic, Neomycin sulfate 3.5 mg/g + 2 more ingredients ointment, listed with the FDA by OL PHARMA TECH, LLC. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Drs. pharmacy triple antibiotic (Bacitracin zinc, polymyxin b sulfate, neomycin sulfate ointment).
What is the active ingredient?
Neomycin sulfate, Bacitracin zinc, Polymyxin b sulfate.
Who is the labeler?
OL PHARMA TECH, LLC, NDC labeler code 80489. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Drs. pharmacy triple 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 003

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 003
ProductStrengthForm · routeLabelerProduct NDC
Hydrating Hand Sanitizer ALOE BREEZEalcohol 75%Alcohol .75 g/mLLiquidTopicalGuangzhou Ailizhuangsi Cosmetics Co., Ltd.87910-005
palm partyalcohol hand sanitizerAlcohol 60 mL/100mLSprayTopicalDongyang Loulee Cosmetics Co.,Ltd.87322-1169
Isopropyl AlcoholIsopropyl alcohol 70 mL/100mLClothTopicalSarnova, Inc.81085-0002
Terramed Just Think Comfort Armor Antibacterial Cleansing Barbenzalkonium chlorideBenzalkonium chloride .13 g/100gSoapTopicalRida LLC83004-033
Antiseptic Povidone Iodine Prep Padpovidone-iodinePovidone-iodine 100 mg/gClothTopicalM-star (Hubei) Health&Care Products Co., Ltd.84219-006
Green Guard Antiseptic Wipesbenzalkonium chlorideBenzalkonium chloride 1.3 mg/mLSwabTopicalUniFirst First Aid Corporation47682-206
RITE AID Maximum strength pain relievingbenzalkonium chloride and lidocaine hydrochlorideBenzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mLLiquidTopicalRITE AID11822-7220
Obstetrical Towelettebenzalkonium chlorideBenzalkonium chloride 1.3 mg/gClothTopicalJianerkang Medical Co., Ltd34645-0015
Hand SanitizerAlcohol 70 mL/100mLGelExtracorporealZhejiang Meimi Technology Co., Ltd.41366-053
50 percent Isopropyl alcoholisopropyl alcoholIsopropyl alcohol 50 mL/100mLLiquidTopicalWhole Foods Market42681-6573
Antibacterial Hand wipesbenzalkonium chlorideBenzalkonium chloride .13 g/100gClothTopicalMY IMPORTS USA LLC51628-9999
E-2 Hand Item 1095chloroxylenolChloroxylenol .3 g/100mLSoapTopicalAMERICAN CHEMICAL AND SANITARY SUPPLY INC50536-195
Smart Care Kids Hand Sanitizer Peppa pigalcoholAlcohol 70 mL/100mLSprayTopicalShenzhen Lantern Scicence Co.,Ltd.54860-513
Be Smart Get Prepared Alcohol Prep Padisopropyl alcoholIsopropyl alcohol .7 mL/mLClothTopicalTotal Resources International, Inc55550-242
McKesson Alcohol Prep Padisopropyl alcoholIsopropyl alcohol .7 mL/mLSwabTopicalMcKesson Medical-Surgical68599-5804
AshleyBelle Moisturizing Hand Sanitizer Citrus Groveethyl alcohol 70%Alcohol 70 mL/100mLSprayTopicalZhejiang Guoyao Jingyue Aerosol Co., Ltd.75742-041
Mistify Pumpkin Hand Sanitizeralcohol antisepticAlcohol 62 mL/100mLLiquidTopicalKingkey MBC Life Technology Group Co.,Ltd73928-313
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSolutionTopicalGrocery Outlet, Inc.85828-871
Antiseptic Towelette TOALLITAS ANTISEPTICASbenzalkonium chlorideBenzalkonium chloride 1.3 mg/gClothTopicalM-star (Hubei) Health&Care Products Co., Ltd.84219-004
Isopropyl alcoholIsopropyl alcohol 70 mL/100mLLiquidTopicalNice-Pak Products, LLC11344-845

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