What is NDC 63750-004?

63750-004 is the product NDC for Vivant BP3% Acne Wash (benzoyl peroxide), Benzoyl peroxide 3 g/mL liquid, listed with the FDA by Vivant Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Vivant BP3% Acne Wash (Benzoyl peroxide).

Vivant Pharmaceuticals, LLC, NDC labeler code 63750. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Vivant BP3% Acne Wash?

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.

Vivant BP3% Acne Wash NDC 63750-004 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)63750-004Labeler and product segments. Claims need a package NDC.

Product NDC at billing width63750-0004Add 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
63750-004-04	63750000404	118 mL in 1 BOTTLE, PLASTIC (63750-004-04)Marketed from Feb 1, 2024

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): Vivant BP3% Acne Wash
Generic name (nonproprietary): benzoyl peroxide
Active ingredients: Benzoyl peroxide — 3 g/mL
Dosage form: Liquid
Route: Topical
Labeler: Vivant Pharmaceuticals, LLCNDC labeler code 63750
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 006
Marketing start: Feb 1, 2024
Listing expires: Dec 31, 2026
Identifiers: Product ID 63750-004_26322613-7333-275b-e063-6394a90afcb4SPL ID 26322613-7333-275b-e063-6394a90afcb4SPL set ID 10bf5723-225f-67d7-e063-6394a90a72b1UNII W9WZN9A0GM

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

N463750000404 followed by a unit qualifier and the quantity

Package 63750-0004-04. 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 Nov 5, 2024.

Indications (excerpt from the label)

Use for the treatment of acne

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63750-004

What is NDC 63750-004?: 63750-004 is the product NDC for Vivant BP3% Acne Wash (benzoyl peroxide), Benzoyl peroxide 3 g/mL liquid, listed with the FDA by Vivant Pharmaceuticals, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Vivant BP3% Acne Wash (Benzoyl peroxide).
What is the active ingredient?: Benzoyl peroxide.
Who is the labeler?: Vivant Pharmaceuticals, LLC, NDC labeler code 63750. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vivant BP3% Acne Wash?: 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 006

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

FDA NDC Directory listings under M 006
Product	Strength	Form · route	Labeler	Product NDC
Cetaphil Gentle Clear BPO Acne Cleanserbenzoyl peroxide	Benzoyl peroxide 2.6 g/100mL	CreamTopical	Galderma Laboratories, L.P.	0299-4125
Anti-Aging Blemish Control Peel Padssalicylic acid	Salicylic acid 2.366 g/118.29g	SwabTopical	June Jacobs Labs, LLC	65278-318
Acne Treatment Padssalicylic acid	Salicylic acid 1 g/50mL	LotionTopical	Spa de Soleil	68062-9004
Face Reality 5% Advanced Acne Medbenzoyl peroxide	Benzoyl peroxide 50 mg/mL	CreamTopical	Face Reality	70707-157
Peace Out Early Stage Acne Dotsalicylic acid	Salicylic acid .14 mg/1	PatchTopical	Peace Out LLC.	71494-007
Rugby Benzoyl Peroxide Wash Acne Medicationbenzoyl peroxide	Benzoyl peroxide 100 mg/g	LotionTopical	Rugby Laboratories	0536-1474
Gentle Acne Serumsalicylic acid	Salicylic acid .5 g/100mL	GelTopical	Drmtlgy, LLC	83286-016
Acne Treatment Gelsalicylic acid	Salicylic acid 20 mg/mL	GelTopical	S+	31720-301
ALMAY CLEAR COMPLEXION MAKEUP FOUNDATION Mochasalicylic acid	Salicylic acid 1 mg/mL	EmulsionTopical	ALMAY	0311-0767
Almay Clear Complexion Makeup Buffsalicylic acid	Salicylic acid 2 mg/2mL	LiquidTopical	Almay	0311-0742
10 Acne Medbenzoyl peroxide	Benzoyl peroxide 100 mg/mL	GelTopical	Face Reality, Inc.	70707-151
Peace Out Acne Day and Night Duosalicylic acid	—	KitTopical	Peace Out LLC.	71494-003
CosmoClear Cleansersalicylic acid	Salicylic acid 100 mg/mL	SoapTopical	Noon Aesthetics M.R. Ltd	78863-3025
NAS Tonersalicylic acid	Salicylic acid 1 g/1001	LiquidTopical	BURT'S BEES, INC.	26052-042
Daily Medssalicylic acid	Salicylic acid 20 mg/mL	LotionTopical	Bioelements, Inc.	49825-100
Vichy Laboratoires Normaderm Phytoaction Daily Deep Cleansingsalicylic acid	Salicylic acid 5 mg/mL	GelTopical	L'Oreal USA Products Inc	49967-307
Shiseido Waso Koshirice Acne Calming Treatmentsalicylic acid	Salicylic acid .1 g/20mL	GelTopical	SHISEIDO AMERICAS CORPORATION	58411-615
Walgreens Maximum Strength Tinted Acne Spot Treatment Creambenzoyl peroxide	Benzoyl peroxide 100 mg/g	CreamTopical	WALGREEN COMPANY	0363-0256
2.5 Acne Medbenzoyl peroxide	Benzoyl peroxide 25 mg/mL	GelTopical	Face Reality, Inc.	70707-152
Peace Out Acne Day and Night Duosalicylic acid	—	KitTopical	Peace Out LLC.	71494-004

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Vivant BP3% Acne Wash (Benzoyl peroxide) NDC 63750-004