Over-the-counter drug · OTC MONOGRAPH DRUG
Harris Teeter Triple Antibiotic and Pain Relief NDC 69256-978
neomycin sulfate, polymyxin b sulfate, bacitracin zinc, pramoxine hcl · Polymyxin b sulfate 10000 [USP'U]/g + 3 more ingredients · Ointment · Topical · HARRIS TEETER LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69256-978-01 | 69256097801 | 1 TUBE in 1 CARTON (69256-978-01) / 28.3 g in 1 TUBEMarketed from May 1, 2025 |
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)
- Harris Teeter Triple Antibiotic and Pain Relief
- Generic name (nonproprietary)
- neomycin sulfate, polymyxin b sulfate, bacitracin zinc, pramoxine hcl
- Active ingredients
- Polymyxin b sulfate — 10000 [USP'U]/gBacitracin zinc — 500 [USP'U]/gPramoxine hydrochloride — 10 mg/gNeomycin sulfate — 3.5 mg/g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- HARRIS TEETER LLC
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 004
- Marketing start
- Listing expires
- Other FDA classes
- Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
- Identifiers
- Product ID 69256-978_5140b1bd-4775-4815-e063-6294a90a6793SPL ID 5140b1bd-4775-4815-e063-6294a90a6793SPL set ID 4b0c0a3c-7145-97ca-e063-6394a90a1a96RxCUI 1359350UNII 19371312D4, 89Y4M234ES, 88AYB867L5, 057Y626693
- Pharmacologic class
- Aminoglycoside 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. Topical products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N469256097801followed by a unit qualifier and the quantityPackage 69256-0978-01. 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
Label details couldn’t be retrieved right now. Open the label on DailyMed.
Other NDCs under M 004
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Premier Value Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Premier Value Alliance LLC. | 68016-320 |
| Hydrogen Peroxide | Hydrogen peroxide 30 mg/mL | SprayTopical | JHK Inc | 73598-0661 |
| antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | Kroger Company | 30142-790 |
| Triple Antibioticbacitracin zinc, neomycin, polymyxin b | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | A-S Medication Solutions | 50090-1859 |
| Family Wellness Antiseptic and Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochloride | Bacitracin zinc .51 g/100g + 3 more ingredients | OintmentTopical | FRONT PHARMACEUTICAL PLC | 69571-007 |
| Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 [USP'U]/g + 2 more ingredients | OintmentTopical | Premier Value Alliance LLC. | 68016-319 |
| Family Wellnessbacitracin zinc | Bacitracin zinc .51 g/100g | OintmentTopical | FRONT PHARMACEUTICAL PLC | 69571-008 |
| Basic Care First Aid Antibioticbacitracin, neomycin, polymyxin b, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Amazon.com Services LLC | 72288-679 |
| Isopropyl Alcohol | Isopropyl alcohol 700 mL/L | SprayTopical | JHK Inc | 73598-0651 |
| Single Antibioticbacitracin zinc | Bacitracin zinc 500 [iU]/g | OintmentTopical | Safetec of America, Inc. | 61010-4404 |
| Signature Care Triple Antibioticbacitracin, neomycin, polymyxin b, pramoxine hcl | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Safeway | 21130-448 |
| Triple Antibiotic with Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfate, pramoxine hydrochloride | Bacitracin zinc 500 [iU]/g + 3 more ingredients | OintmentTopical | Safetec of America, Inc. | 61010-4401 |
| Fresh Startchloroxylenol | Chloroxylenol 3 mg/mL | SoapTopical | Pro Chem, Inc. | 63830-950 |
| Family Care First Aidbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | United Exchange Corp. | 65923-491 |
| Ecolab Triple Antibioticbacitracin, neomycin sulfate, polymyxin b sulfate | Neomycin sulfate 3.5 mg/g + 2 more ingredients | OintmentTopical | Ecolabs Food Safety Specialties, Inc. | 71338-121 |
| Bacitracin Zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | EQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC) | 49035-510 |
| Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Bacitracin zinc 400 U/g + 2 more ingredients | OintmentTopical | Fourstar Group USA, Inc | 80684-198 |
| Antibiotic and Pain Reliefneomycin, polymyxin b, pramoxine hydrochloride | Neomycin sulfate 3.5 mg/g + 2 more ingredients | CreamTopical | CVS Pharmacy | 69842-754 |
| Lightning X Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate | Polymyxin b sulfate 5000 [USP'U]/g + 2 more ingredients | OintmentTopical | Nantong Health & Beyond Hygienic Products Inc. | 43473-301 |
| Premier Value Bacitracin Zincbacitracin zinc | Bacitracin zinc 500 [USP'U]/g | OintmentTopical | Pharmacy Value Alliance LLC | 68016-107 |
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