NDC codes

FDA NDC Directory
Product NDC (as listed)55758-375Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0375Add 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
55758-375-025575803750230 mL in 1 BOTTLE (55758-375-02)Marketed from May 31, 2023

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)
El Valle Merthiolate
Generic name (nonproprietary)
benzalkonium chloride
Active ingredients
Benzalkonium chloride — 1.3 mg/mL
Dosage form
Liquid
Route
Topical
Labeler
Pharmadel LLCNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 004
Marketing start
Listing expires
Identifiers
Product ID 55758-375_4df13d29-3a69-c83a-e063-6394a90a393fSPL ID 4df13d29-3a69-c83a-e063-6394a90a393fSPL set ID fd7b28ca-9f71-0ff6-e053-6394a90a4822RxCUI 1049254UNII F5UM2KM3W7

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

N455758037502 followed by a unit qualifier and the quantity

Package 55758-0375-02. 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 55758-375

What is NDC 55758-375?
55758-375 is the product NDC for El Valle Merthiolate (benzalkonium chloride), Benzalkonium chloride 1.3 mg/mL liquid, listed with the FDA by Pharmadel LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
El Valle Merthiolate (Benzalkonium Chloride).
What is the active ingredient?
Benzalkonium chloride.
Who is the labeler?
Pharmadel LLC, NDC labeler code 55758. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for El Valle Merthiolate?
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
ProCure Bacitracin Zincbacitracin zincBacitracin zinc 500 [iU]/gOintmentTopicalTwin Med LLC55681-016
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalEVER READY FIRST AID72976-009
Vitacilina First Aid Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalTaisho Pharmaceutical California Inc.81929-003
triple antibiotic and pain reliefbacitracin, neomycin, polymyxin b, pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalCVS Pharmacy69842-562
First Aid Antibiotic and Burn Reliefbacitracin zinc, neomycin sulfate, polymyxin b, pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalAmazon.com Services LLC72288-824
CareALL Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalNew World Imports, Inc51824-052
Leader Triple antibioticbacitracin,neomycin,polymxinBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCardinal Health 110 dba LEADER70000-0687
ER Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalEVER READY FIRST AID72976-017
AntibioticbacitracinBacitracin 500 [USP'U]/gOintmentTopicalTopco Associates LLC36800-536
Xpect Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalCintas Corporation42961-236
WinCo Maximum Strength Triple Antibioticbacitracin zinc, neomycin sulfate, poymyxin b sulfate, and pramoxine hydrochrlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalWinCo Foods, LLC67091-272
PS - 2895 Triple Antibiotic , 0.5gBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalProstat First Aid LLC58228-2895
Winco Bacitracin Zincbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalWinCo Foods, LLC67091-270
Sheffield Triple Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalSheffield Pharmaceuticals LLC11527-162
Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalMedline Industries, LP53329-087
WinCo Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalWinCo Foods, LLC67091-274
Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, and pramoxine hydrochlorideBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalSun Pharmaceutical Industries, Inc.51672-2027
First Aid Antibioticbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalMedline Industries, LP53329-089
Leader Poly Bacitracinfirst aid antibioticBacitracin zinc 500 [USP'U]/g; Polymyxin b sulfate 10000 [USP'U]/gOintmentTopicalCardinal Health 110, Inc.70000-0093
Leader Triple Antibioticfirst aid triple antibioticBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCardinal Health 110,Inc.70000-0094

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