Over-the-counter drug · OTC MONOGRAPH DRUG
Triple Antibiotic NDC 21922-101
bacitracin zinc neomycin sulfate polymyxin b sulfate pramoxine hcl · Bacitracin zinc 500 [USP'U]/g + 3 more ingredients · Ointment · Topical · Encube Ethicals, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21922-101Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21922-0101Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21922-101-04 | 2192201010421922010104 | 1 TUBE in 1 CARTON (21922-101-04) / 14 g in 1 TUBEMarketed from Mar 6, 2025 | |
| 21922-101-05 | 2192201010521922010105 | 1 TUBE in 1 CARTON (21922-101-05) / 28 g in 1 TUBEMarketed from Mar 6, 2025 |
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
- Generic name (nonproprietary)
- bacitracin zinc neomycin sulfate polymyxin b sulfate 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
- Encube Ethicals, Inc.NDC labeler code 21922
- 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 21922-101_e439b001-c222-4bcd-b4cf-0bbfd652da5eSPL ID e439b001-c222-4bcd-b4cf-0bbfd652da5eSPL set ID dfea6b2e-cd76-439d-a3da-64e2d8717163RxCUI 1359350UNII 89Y4M234ES, 057Y626693, 19371312D4, 88AYB867L5UPC 0321922101058
- 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
N421922010104followed by a unit qualifier and the quantityPackage 21922-0101-04. 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 for the temporary relief of pain in minor ■ burns ■ cuts ■ scrapes
Excerpt only. Read the full label for complete information.
About NDC 21922-101
- What is NDC 21922-101?
- 21922-101 is the product NDC for Triple Antibiotic, Bacitracin zinc 500 [USP'U]/g + 3 more ingredients ointment, listed with the FDA by Encube Ethicals, Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Triple Antibiotic (Bacitracin zinc Neomycin sulfate Polymyxin B sulfate Pramoxine Hcl).
- What is the active ingredient?
- Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate, Pramoxine hydrochloride.
- Who is the labeler?
- Encube Ethicals, Inc., NDC labeler code 21922. 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?
- 62 other product NDCs are listed under this name. See all Triple Antibiotic 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 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 Antibioticbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hydrochloride | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | H E B | 59640-801 | 59640-0801-64 |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | ProStat First Aid, LLC. | 58228-7040 | 58228-7040-01 |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | ProStat First Aid, LLC. | 58228-7050 | 58228-7050-01 |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | ProStat First Aid, LLC. | 58228-7060 | 58228-7060-01 |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | ProStat First Aid, LLC. | 58228-7070 | 58228-7070-01 |
| Triple Antibiotic | Hydrocortisone 1 g/1 | CreamCutaneous | Jiangxi He-Oumei Health Industry Co., Ltd. | 87365-473 | 87365-0473-17 |
| Triple Antibioticfirst aid antibiotic original strength | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | Aldermed Inc. | 87236-002 | 87236-0002-0187236-0002-0587236-0002-09+3 more |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | TRIFECTA PHARMACEUTICALS USA LLC | 69396-162 | 69396-0162-09 |
| Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [CFU]/g + 2 more ingredients | CreamTopical | J&A Digital Inc. | 82942-1004 | 82942-1004-01 |
| Triple Antibioticbacitracin zinc, neomycin sulfate , polymyxin b sulfate. | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Front Pharmaceutical PLC | 69571-888 | 69571-0888-05 |
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 |
|---|---|---|---|---|
| A-Cute Derm Antisepationbenzethonium chloride | Benzethonium chloride 2 mg/mL | GelCutaneous | ABBE Laboratories, Inc. | 68605-7171 |
| A-Cute Derm B-Kleerbenzethonium chloride | Benzethonium chloride 2 mg/mL | GelCutaneous | ABBE Laboratories, Inc. | 68605-1040 |
| Aerosoothetriple antibiotic ointment | Bacitracin zinc 400 [iU]/g + 2 more ingredients | OintmentTopical | Aero Healthcare US LLC | 55305-123 |
| Alcare Extra Hand Sanitizeralcohol | Alcohol 85.6 mL/100mL | SolutionTopical | SC Johnson Professional USA Inc. | 11084-009 |
| Always Save Bacitracin Zincbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Trifecta Pharmaceuticals USA LLC | 69396-148 |
| American Safety and First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Orazen Inc | 71927-016 |
| American Safety First Aid Antispeticisopropyl alcohol | Isopropyl alcohol 700 mg/1000mL | SprayTopical | Orazen Inc | 71927-014 |
| Anti-Itch with Aloehydrocortisone 1% | Hydrocortisone 1 g/100g | CreamTopical | Chain Drug Marketing Association Inc. | 83324-046 |
| Antibacterial Hand Wipes (0.13% Benzalkonium Chloride)benzalkonium chloride | Benzalkonium chloride 5.2 mg/1 | ClothTopical | Eleeo Brands LLC | 79747-013 |
| Antibioticbacitracin | Bacitracin 500 [USP'U]/g | OintmentTopical | Topco Associates LLC | 36800-536 |
| antibioticneomycin, polymyxin b, pramoxine hcl | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | H E B | 37808-005 |
| Antibioticbacitracin zinc, polymyxin b sulfate | Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g | OintmentTopical | CVS PHARMACY, INC | 51316-044 |
| Antibioticneomycin sulfate | Neomycin sulfate 3.5 mg/g | OintmentTopical | Total Resources International | 55550-730 |
| Antibioticbacitracin zinc, neomycin, polymyxin b | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | CVS Pharmacy | 69842-199 |
| Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 6 mg/mL + 2 more ingredients | OintmentTopical | Welly Health PBC | 72663-560 |
| 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 |
| Antibiotic and Pain Reliefneomycin, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | CVS Pharmacy | 69842-754 |
| Antibiotic Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 500 [iU]/g + 2 more ingredients | OintmentTopical | Walgreens | 0363-0018 |
| ANTIBIOTIC Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 500 [iU]/g + 2 more ingredients | OintmentTopical | Walgreens Co. | 0363-1331 |
| antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | Kroger Company | 30142-790 |
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