Acne Relief NDC 66096-168

NDC codes

FDA NDC Directory

Product NDC (as listed)66096-168Labeler and product segments. Claims need a package NDC.

Product NDC at billing width66096-0168Add 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
66096-168-05	66096016805	59 mL in 1 PACKAGE (66096-168-05)Marketed from May 21, 2015

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): Acne Relief
Generic name (nonproprietary): antimonium crud, arsenicum brom, bovista, eugenia jamb, fluoricum acidum, hepar sulph calc, kali brom, kali iod, kali mur, nat brom, niccolum sulph, phosphoricum ac, sulphur iod.
Active ingredients: Antimony trisulfide — 6 [hp_X]/59mLArsenic tribromide — 30 [hp_C]/59mLLycoperdon utriforme fruiting body — 30 [hp_C]/59mLSyzygium jambos seed — 14 [hp_X]/59mLHydrofluoric acid — 30 [hp_C]/59mLCalcium sulfide — 30 [hp_C]/59mLPotassium bromide — 3 [hp_X]/59mLPotassium iodide — 3 [hp_X]/59mLPotassium chloride — 6 [hp_X]/59mLSodium bromide — 4 [hp_X]/59mLNickel sulfate hexahydrate — 4 [hp_X]/59mLPhosphoric acid — 30 [hp_C]/59mLSulfur iodide — 14 [hp_X]/59mL
Dosage form: Liquid
Route: Oral
Labeler: OHM PHARMA INC.
Product type: Over-the-counter drug
Marketing category: Unapproved homeopathic
Marketing start: May 21, 2015
Listing expires: Dec 31, 2026
Other FDA classes: Increased Large Intestinal Motility (Physiologic effect)Inhibition Large Intestine Fluid/Electrolyte Absorption (Physiologic effect)Osmotic Activity (Mechanism)Potassium Compounds (Chemical structure)
Identifiers: Product ID 66096-168_d44ad1d9-cfa1-62c1-e053-2a95a90a323eSPL ID d44ad1d9-cfa1-62c1-e053-2a95a90a323eSPL set ID 8ecc9282-3aa4-47f1-a928-89280b2cd806UNII F79059A38U, 41CN475O7F, K2A74U428F, 97P0H45869, RGL5YE86CZ, 1MBW07J51Q, OSD78555ZM, 1C4QK22F9J, 660YQ98I10, LC1V549NOM, JC9WZ4FK68, E4GA8884NN, L6L8KA2AA0UPC 0366096168056
Pharmacologic class: Osmotic Laxative; Potassium Salt

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N466096016805 followed by a unit qualifier and the quantity

Package 66096-0168-05. 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 29, 2021.

Indications (excerpt from the label)

USES: Temporarily relieves pustular eruptions, acne simplex and indurate. Helps prevent recurrence of bluish red and acne eruptions.**

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)