NDC codes

FDA NDC Directory
Product NDC (as listed)63629-9261Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-9261Add 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
63629-9261-163629926101227 g in 1 BOTTLE, PLASTIC (63629-9261-1)Marketed from Nov 15, 2021

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Sodium Sulfacetamide and Sulfur
Generic name (nonproprietary)
sulfacetamide sodium, sulfur
Active ingredients
Sulfacetamide sodium — 100 mg/gSulfur — 50 mg/g
Dosage form
Liquid
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Sulfonamides (Chemical structure)
Identifiers
Product ID 63629-9261_681c1bf9-e9d3-459c-8a30-78bba1d6e8c2SPL ID 681c1bf9-e9d3-459c-8a30-78bba1d6e8c2SPL set ID dafae162-9cae-4ba6-b8af-8c9bbc0f0010RxCUI 999613UNII 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

N463629926101 followed by a unit qualifier and the quantity

Package 63629-9261-01. 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)

INDICATIONS SODIUM SULFACETAMIDE 10% - SULFUR 5% CLEANSER 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)

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