Plexion NDC 57883-404

NDC codes

FDA NDC Directory

Product NDC (as listed)57883-404Labeler and product segments. Claims need a package NDC.

Product NDC at billing width57883-0404Add 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 NDC	11-digit (billing)	Package	Copy
57883-404-10	57883040410	10 PACKET in 1 CARTON (57883-404-10) / 4 g in 1 PACKET (57883-404-01)Marketed from Sep 1, 2005 · Sample package
57883-404-60	57883040460	60 PACKET in 1 CARTON (57883-404-60) / 4 g in 1 PACKET (57883-404-01)Marketed from Sep 1, 2005

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): Plexion
Generic name (nonproprietary): sulfacetamide sodium, sulfur
Active ingredients: Sulfacetamide sodium — 98 mg/gSulfur — 48 mg/g
Dosage form: Cloth
Route: Topical
Labeler: Brava Pharmaceuticals, LLC
Product type: Prescription drug
Marketing category: Unapproved drug (other)
Marketing start: Sep 1, 2005
Marketing end: Jul 31, 2027
Other FDA classes: Sulfonamides (Chemical structure)
Identifiers: Product ID 57883-404_463d23fc-cb49-0346-e063-6394a90a2df2SPL ID 463d23fc-cb49-0346-e063-6394a90a2df2SPL set ID 8211c8ec-b501-4ac6-8185-b4b9758cdc1aRxCUI 1494170, 1494827UNII 4NRT660KJQ, 70FD1KFU70
Pharmacologic class: Sulfonamide 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

N457883040410 followed by a unit qualifier and the quantity

Package 57883-0404-10. 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 Dec 18, 2025.

Indications (excerpt from the label)

INDICATIONS AND USAGE: This product is indicated for use in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)