NDC codes

FDA NDC Directory
Product NDC (as listed)63187-834Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63187-0834Add 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
63187-834-106318708341010 mL in 1 BOTTLE, PLASTIC (63187-834-10)Marketed from Dec 1, 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)
Polymyxin B Sulfate and Trimethoprim
Generic name (nonproprietary)
polymyxin b sulfate and trimethoprim
Active ingredients
Polymyxin b sulfate — 10000 [USP'U]/mLTrimethoprim sulfate — 1 mg/mL
Dosage form
Solution
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 064211
Marketing start
Listing expires
Other FDA classes
Cytochrome P450 2C8 Inhibitors (Mechanism)Dihydrofolate Reductase Inhibitors (Mechanism)Organic Cation Transporter 2 Inhibitors (Mechanism)Polymyxins (Chemical structure)
Identifiers
Product ID 63187-834_0ccbd919-79d8-4159-9b3e-c31230c157dbSPL ID 0ccbd919-79d8-4159-9b3e-c31230c157dbSPL set ID 1252b997-3a81-4f3c-90e4-92f29ba15713RxCUI 244967UNII 19371312D4, E377MF8EQ8UPC 0363187834104
Pharmacologic class
Dihydrofolate Reductase Inhibitor 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. Ophthalmic products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463187083410 followed by a unit qualifier and the quantity

Package 63187-0834-10. 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 .

Indications (excerpt from the label)

INDICATIONS AND USAGE Polymyxin B Sulfate and Trimethoprim Ophthalmic Solution is indicated in the treatment of surface ocular bacterial infections, including acute bacterial conjunctivitis, and blepharoconjunctivitis, caused by susceptible strains of the following microorganisms: Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae, Streptococcus viridans, Haemophilus influenzae and Pseudomonas aeruginosa. * *Efficacy for this organism in this organ system was studied in fewer than 10 infections.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 064211

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 064211
ProductStrengthForm · routeLabelerProduct NDC
Polymyxin B Sulfate and TrimethoprimPolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolutionOphthalmicREMEDYREPACK INC.70518-1735
Polymyxin B Sulfate and TrimethoprimPolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolutionOphthalmicSandoz Inc61314-628
Polymyxin B Sulfate and TrimethoprimPolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolutionOphthalmicA-S Medication Solutions50090-2925
Polymyxin B Sulfate and TrimethoprimPolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolutionOphthalmicPreferred Pharmacetucials Inc.68788-6927
Polymyxin B Sulfate and TrimethoprimTrimethoprim sulfate 1 mg/mL; Polymyxin b sulfate 10000 [USP'U]/mLSolutionOphthalmicNuCare Pharmaceuticals,Inc.68071-4103

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