NDC codes

FDA NDC Directory
Product NDC (as listed)55301-123Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55301-0123Add 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
55301-123-6455301012364553010123641 TUBE in 1 CARTON (55301-123-64) / 28 g in 1 TUBEMarketed from Mar 3, 2016

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

Generic name (nonproprietary)
bacitracin, neomycin, polymyxin b, 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
Army & Air Force Exchange ServiceNDC labeler code 55301
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 55301-123_2b8b5d3a-ddcc-4213-a71e-f47a140f917fSPL ID 2b8b5d3a-ddcc-4213-a71e-f47a140f917fSPL set ID 1c7f1700-69c0-4a71-8bb0-a71e3082efebRxCUI 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

N455301012364 followed by a unit qualifier and the quantity

Package 55301-0123-64. 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 and for temporary relief of pain or discomfort 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 55301-123

What is NDC 55301-123?
55301-123 is the product NDC for Exchange Select First Aid Triple Anitbiotic Pain Relieving, Bacitracin zinc 500 [USP'U]/g + 3 more ingredients ointment, listed with the FDA by Army & Air Force Exchange Service. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Exchange Select First Aid Triple Anitbiotic Pain Relieving (Bacitracin, Neomycin, Polymyxin B, Pramoxine HCl).
What is the active ingredient?
Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate, Pramoxine hydrochloride.
Who is the labeler?
Army & Air Force Exchange Service, NDC labeler code 55301. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Exchange Select First Aid Triple Anitbiotic Pain Relieving?
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 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
A-Cute Derm Antisepationbenzethonium chlorideBenzethonium chloride 2 mg/mLGelCutaneousABBE Laboratories, Inc.68605-7171
A-Cute Derm B-Kleerbenzethonium chlorideBenzethonium chloride 2 mg/mLGelCutaneousABBE Laboratories, Inc.68605-1040
Aerosoothetriple antibiotic ointmentBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalAero Healthcare US LLC55305-123
Alcare Extra Hand SanitizeralcoholAlcohol 85.6 mL/100mLSolutionTopicalSC Johnson Professional USA Inc.11084-009
Always Save Bacitracin Zincbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalTrifecta Pharmaceuticals USA LLC69396-148
American Safety and First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalOrazen Inc71927-016
American Safety First Aid Antispeticisopropyl alcoholIsopropyl alcohol 700 mg/1000mLSprayTopicalOrazen Inc71927-014
Anti-Itch with Aloehydrocortisone 1%Hydrocortisone 1 g/100gCreamTopicalChain Drug Marketing Association Inc.83324-046
Antibacterial Hand Wipes (0.13% Benzalkonium Chloride)benzalkonium chlorideBenzalkonium chloride 5.2 mg/1ClothTopicalEleeo Brands LLC79747-013
AntibioticbacitracinBacitracin 500 [USP'U]/gOintmentTopicalTopco Associates LLC36800-536
antibioticneomycin, polymyxin b, pramoxine hclNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalH E B37808-005
Antibioticbacitracin zinc, polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalCVS PHARMACY, INC51316-044
Antibioticneomycin sulfateNeomycin sulfate 3.5 mg/gOintmentTopicalTotal Resources International55550-730
Antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCVS Pharmacy69842-199
Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 6 mg/mL + 2 more ingredientsOintmentTopicalWelly Health PBC72663-560
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloridePolymyxin b sulfate 10000 [USP'U]/g + 2 more ingredientsCreamTopicalTarget Corporation11673-770
Antibiotic and Pain Reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalCVS Pharmacy69842-754
Antibiotic Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [iU]/g + 2 more ingredientsOintmentTopicalWalgreens0363-0018
ANTIBIOTIC Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [iU]/g + 2 more ingredientsOintmentTopicalWalgreens Co.0363-1331
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790

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