NDC codes

FDA NDC Directory
Product NDC (as listed)50814-042Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50814-0042Add 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
50814-042-01508140042011 KIT in 1 KIT (50814-042-01) * 2 POUCH in 1 KIT / .53 mL in 1 POUCH (50814-041-02) * 2 BAG in 1 KIT / .9 g in 1 BAG (50814-007-01) * 2 PACKAGE in 1 KIT / .9 g in 1 PACKAGE (50814-009-01) * 2 BOX in 1 KIT / 1 POUCH in 1 BOX (50814-002-01) / .45 g in 1 POUCH * 2 BOX in 1 KIT / 1 BAG in 1 BOX (50814-039-01) / .45 g in 1 BAGMarketed from Feb 8, 2018

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)
FAK Care4 Bus and School Yellow ORM D
Generic name (nonproprietary)
bacitracin zinc, neomycin sulfate, polymyxin b sulfate, benzalkonium chloride, lidocaine hydrochloride, isopropyl alcohol, benzocaine, alcohol
Dosage form
Kit
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 004
Marketing start
Listing expires
Identifiers
Product ID 50814-042_2c4cbe6c-c27a-15fe-e063-6294a90ac409SPL ID 2c4cbe6c-c27a-15fe-e063-6294a90ac409SPL set ID 3b5d07c6-bda2-4bc7-89b8-88280d11ed74RxCUI 204602, 797544, 1012100, 1038558, 1046313

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N450814004201 followed by a unit qualifier and the quantity

Package 50814-0042-01. 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)

Use First aid to help prevent infection in minor cuts, scrapes, and burns.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Premier Value Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalPremier Value Alliance LLC.68016-320
Hydrogen PeroxideHydrogen peroxide 30 mg/mLSprayTopicalJHK Inc73598-0661
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790
Triple Antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalA-S Medication Solutions50090-1859
Family Wellness Antiseptic and Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochlorideBacitracin zinc .51 g/100g + 3 more ingredientsOintmentTopicalFRONT PHARMACEUTICAL PLC69571-007
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalPremier Value Alliance LLC.68016-319
Family Wellnessbacitracin zincBacitracin zinc .51 g/100gOintmentTopicalFRONT PHARMACEUTICAL PLC69571-008
Basic Care First Aid Antibioticbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalAmazon.com Services LLC72288-679
Isopropyl AlcoholIsopropyl alcohol 700 mL/LSprayTopicalJHK Inc73598-0651
Single Antibioticbacitracin zincBacitracin zinc 500 [iU]/gOintmentTopicalSafetec of America, Inc.61010-4404
Signature Care Triple Antibioticbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalSafeway21130-448
Triple Antibiotic with Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochlorideBacitracin zinc 500 [iU]/g + 3 more ingredientsOintmentTopicalSafetec of America, Inc.61010-4401
Fresh StartchloroxylenolChloroxylenol 3 mg/mLSoapTopicalPro Chem, Inc.63830-950
Family Care First Aidbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalUnited Exchange Corp.65923-491
Ecolab Triple Antibioticbacitracin, neomycin sulfate, polymyxin b sulfateNeomycin sulfate 3.5 mg/g + 2 more ingredientsOintmentTopicalEcolabs Food Safety Specialties, Inc.71338-121
Bacitracin ZincBacitracin zinc 500 [USP'U]/gOintmentTopicalEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-510
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, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalCVS Pharmacy69842-754
Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfatePolymyxin b sulfate 5000 [USP'U]/g + 2 more ingredientsOintmentTopicalNantong Health & Beyond Hygienic Products Inc.43473-301
Premier Value Bacitracin Zincbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalPharmacy Value Alliance LLC68016-107

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