NDC codes

FDA NDC Directory
Product NDC (as listed)68071-1651Labeler and product segments. Claims need a package NDC.
Product NDC at billing width68071-1651Add 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
68071-1651-56807116510510 mL in 1 BOX (68071-1651-5)Marketed from Aug 3, 2017

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)
Polymyxin B Sulfate and Trimethoprim
Generic name (nonproprietary)
polymyxin b sulfate and trimethoprim sulfate
Active ingredients
Polymyxin b sulfate — 10000 [USP'U]/mLTrimethoprim sulfate — 1 mg/mL
Dosage form
Solution/ drops
Route
Ophthalmic
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 064120
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 68071-1651_2d82d1c4-efa7-d76d-e063-6294a90af11dSPL ID 2d82d1c4-efa7-d76d-e063-6294a90af11dSPL set ID 55e1f68a-836b-5c23-e054-00144ff88e88RxCUI 244967UNII 19371312D4, E377MF8EQ8UPC 0368071165159
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

N468071165105 followed by a unit qualifier and the quantity

Package 68071-1651-05. 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 .

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 064120

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

FDA NDC Directory listings under ANDA 064120
ProductStrengthForm · routeLabelerProduct NDC
Polymyxin B Sulfate and Trimethoprimpolymyxin b sulfate and trimethoprim sulfatePolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolution/ dropsOphthalmicProficient Rx LP63187-631
Polymyxin B Sulfate and Trimethoprimpolymyxin b sulfate and trimethoprim sulfatePolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolution/ dropsOphthalmicBausch & Lomb Incorporated24208-315
Polymyxin B Sulfate and Trimethoprimpolymyxin b sulfate and trimethoprim sulfatePolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolution/ dropsOphthalmicPreferred Pharmaceuticals Inc.68788-8152
Polymyxin B Sulfate and Trimethoprimpolymyxin b sulfate and trimethoprim sulfatePolymyxin b sulfate 10000 [USP'U]/mL; Trimethoprim sulfate 1 mg/mLSolution/ dropsOphthalmicSportpharm LLC85766-141

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