NDC codes

FDA NDC Directory
Product NDC (as listed)80489-919Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80489-0919Add 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
80489-919-01804890919011 TUBE in 1 CARTON (80489-919-01) / 14000 mg in 1 TUBEMarketed from Sep 5, 2021
80489-919-02804890919021 TUBE in 1 CARTON (80489-919-02) / 28300 mg in 1 TUBEMarketed from Sep 5, 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 AND BURN RELIEF
Generic name (nonproprietary)
bacitracin zinc, neomycin sulfate, polymyxin b sulfate
Active ingredients
Bacitracin zinc500 [USP'U]/1000mgNeomycin sulfate3.5 mg/1000mgPolymyxin b sulfate10000 [USP'U]/1000mgPramoxine hydrochloride10 mg/1000mg
Dosage form
Ointment
Route
Topical
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 80489-919_4928d0c5-0313-dfd6-e063-6394a90ab798SPL ID 4928d0c5-0313-dfd6-e063-6394a90ab798SPL set ID 4928d9dd-542b-fe8b-e063-6294a90a9252RxCUI 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

N480489091901 followed by a unit qualifier and the quantity

Package 80489-0919-01. 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)

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
Pet wipesbenzalkonium chlorideBenzalkonium chloride 1 g/1ClothTopicalShandong Yayun Sanitary Products Co., Ltd.79539-801
Koala Eco Hand Sanitizerethyl alcoholAlcohol 650 mg/mLLiquidTopicalKoala Eco Company USA Ltd87177-001
70% Isopropyl Alcoholisopropyl alcoholIsopropyl alcohol 70 mL/100mLLiquidTopical4 Visions87251-011
Hand sanitizerhand sanitizer sprayAlcohol 70 mL/100mLSprayTopicalBeimei Biotechnology (Guangzhou) Co., Ltd.87374-001
Hand SanitizeralcoholAlcohol 540.26 g/LGelTopicalUnifirst First Aid Corporation47682-511
Licensed Hand Sanitizer Spider man 01alcoholAlcohol 70 mL/100mLSprayTopicalShenzhen Lantern Scicence Co.,Ltd.54860-435
Hand Sanitizer Aloe 8ozalcoholAlcohol 70 mL/100mLLiquidTopicalNingbo Rejoice International57337-134
Los Poblanos Lavender Hand SanitizeralcoholAlcohol 62 kg/100kgSprayTopicalSombra Cosmetics Inc.61577-1110
Dr Lift Advanced Antibacterial Wipesbenzalkonium chlorideBenzalkonium chloride .156 mg/120mgLiquidTopicalSpa de Soleil68062-2244
Mistify Strawberre Hydrating Hand Sanitizeralcohol antisepticAlcohol 62 mL/100mLLiquidTopicalKingkey MBC Life Technology Group Co.,Ltd73928-538
AshleyBelle Moisturizing Hand Sanitizer Blueberry Freesiaethyl alcoholAlcohol 70 mL/100mLSprayTopicalZhejiang Guoyao Jingyue Aerosol Co., Ltd.75742-077
Liquid Bandagebenzethonium chloride and dyclonine hydrochlorideBenzethonium chloride .06 mg/29.6mL; Dyclonine hydrochloride .23 mg/29.6mLLiquidTopicalWal-Mart Stores, Inc.79903-485
Isopropyl alcohol 70 percentisopropyl alcoholIsopropyl alcohol 70 mL/100mLLiquidTopicalTOP CARE (Topco Associates LLC)36800-275
Licensed Hand Sanitizer Hot Wheels 01alcoholAlcohol 70 mL/100mLSprayTopicalShenzhen Lantern Scicence Co.,Ltd.54860-433
Hand Sanitizer 24ct PouchalcoholAlcohol 70 mL/100mLLiquidTopicalNingbo Rejoice International57337-131
Kills Hand SanitizeralcoholAlcohol 65 mL/100mLGelTopicalDermazone LLC58466-105
Isopropyl AlcoholIsopropyl alcohol 70 mL/100mLLiquidTopicalCariba International67860-845
Dr Lift Antibacterial Body Washbenzalkonium chlorideBenzalkonium chloride .46 mg/240mgGelTopicalSpa de Soleil68062-2241
Sierra Soft Antibacterial WashchloroxylenolChloroxylenol 5 g/LLiquidTopicalCWGC LA Inc.70415-001
AshleyBelle Moisturizing Hand Sanitizer Black Raspberryethyl alcohol 70% v/vAlcohol 70 mL/100mLSprayTopicalZhejiang Guoyao Jingyue Aerosol Co., Ltd.75742-074

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