What is NDC 69396-138?

69396-138 is the product NDC for First Aid Antibiotic plus Burn Relief, Pramoxine hydrochloride 10 mg/g + 3 more ingredients ointment, listed with the FDA by Trifecta Pharmaceuticals USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

First Aid Antibiotic plus Burn Relief (Bacitracinzinc,NeomycinSulfate,PolymxinBSulfate,PramoxineHCI).

What is the active ingredient?

Pramoxine hydrochloride, Polymyxin b sulfate, Bacitracin zinc, Neomycin sulfate.

Trifecta Pharmaceuticals USA LLC, NDC labeler code 69396. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for First Aid Antibiotic plus Burn Relief?

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.

First Aid Antibiotic plus Burn Relief NDC 69396-138

NDC codes

FDA NDC Directory

Product NDC (as listed)69396-138Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69396-0138Add 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
69396-138-02	6939601380269396013802	1 TUBE in 1 BOX (69396-138-02) / 57 g in 1 TUBEMarketed from Sep 4, 2023

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): First Aid Antibiotic plus Burn Relief
Generic name (nonproprietary): bacitracinzinc,neomycinsulfate,polymxinbsulfate,pramoxinehci
Active ingredients: Pramoxine hydrochloride — 10 mg/gPolymyxin b sulfate — 10000 [USP'U]/gBacitracin zinc — 500 [USP'U]/gNeomycin sulfate — 3.5 mg/g
Dosage form: Ointment
Route: Topical
Labeler: Trifecta Pharmaceuticals USA LLCNDC labeler code 69396
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 004
Marketing start: Sep 4, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers: Product ID 69396-138_298dae2b-f42d-53a1-e063-6394a90a223bSPL ID 298dae2b-f42d-53a1-e063-6394a90a223bSPL set ID 048871e2-c917-292d-e063-6394a90af130RxCUI 1359350UNII 88AYB867L5, 19371312D4, 89Y4M234ES, 057Y626693UPC 0850026393897
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

N469396013802 followed by a unit qualifier and the quantity

Package 69396-0138-02. 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 18, 2024.

Indications (excerpt from the label)

Uses First Aid to help prevent infection and for the temporary relief of pain or discomfort in minor cuts, scrapes and burns.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69396-138

What is NDC 69396-138?: 69396-138 is the product NDC for First Aid Antibiotic plus Burn Relief, Pramoxine hydrochloride 10 mg/g + 3 more ingredients ointment, listed with the FDA by Trifecta Pharmaceuticals USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: First Aid Antibiotic plus Burn Relief (Bacitracinzinc,NeomycinSulfate,PolymxinBSulfate,PramoxineHCI).
What is the active ingredient?: Pramoxine hydrochloride, Polymyxin b sulfate, Bacitracin zinc, Neomycin sulfate.
Who is the labeler?: Trifecta Pharmaceuticals USA LLC, NDC labeler code 69396. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for First Aid Antibiotic plus Burn Relief?: 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 004

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

FDA NDC Directory listings under M 004
Product	Strength	Form · route	Labeler	Product NDC
A-Cute Derm Antisepationbenzethonium chloride	Benzethonium chloride 2 mg/mL	GelCutaneous	ABBE Laboratories, Inc.	68605-7171
A-Cute Derm B-Kleerbenzethonium chloride	Benzethonium chloride 2 mg/mL	GelCutaneous	ABBE Laboratories, Inc.	68605-1040
Aerosoothetriple antibiotic ointment	Bacitracin zinc 400 [iU]/g + 2 more ingredients	OintmentTopical	Aero Healthcare US LLC	55305-123
Alcare Extra Hand Sanitizeralcohol	Alcohol 85.6 mL/100mL	SolutionTopical	SC Johnson Professional USA Inc.	11084-009
Always Save Bacitracin Zincbacitracin zinc	Bacitracin zinc 500 [USP'U]/g	OintmentTopical	Trifecta Pharmaceuticals USA LLC	69396-148
American Safety and First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	Orazen Inc	71927-016
American Safety First Aid Antispeticisopropyl alcohol	Isopropyl alcohol 700 mg/1000mL	SprayTopical	Orazen Inc	71927-014
Anti-Itch with Aloehydrocortisone 1%	Hydrocortisone 1 g/100g	CreamTopical	Chain Drug Marketing Association Inc.	83324-046
Antibacterial Hand Wipes (0.13% Benzalkonium Chloride)benzalkonium chloride	Benzalkonium chloride 5.2 mg/1	ClothTopical	Eleeo Brands LLC	79747-013
Antibioticbacitracin	Bacitracin 500 [USP'U]/g	OintmentTopical	Topco Associates LLC	36800-536
antibioticneomycin, polymyxin b, pramoxine hcl	Neomycin sulfate 3.5 mg/g + 2 more ingredients	CreamTopical	H E B	37808-005
Antibioticbacitracin zinc, polymyxin b sulfate	Bacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/g	OintmentTopical	CVS PHARMACY, INC	51316-044
Antibioticneomycin sulfate	Neomycin sulfate 3.5 mg/g	OintmentTopical	Total Resources International	55550-730
Antibioticbacitracin zinc, neomycin, polymyxin b	Bacitracin zinc 400 [USP'U]/g + 2 more ingredients	OintmentTopical	CVS Pharmacy	69842-199
Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 6 mg/mL + 2 more ingredients	OintmentTopical	Welly Health PBC	72663-560
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloride	Polymyxin b sulfate 10000 [USP'U]/g + 2 more ingredients	CreamTopical	Target Corporation	11673-770
Antibiotic and Pain Reliefneomycin, polymyxin b, pramoxine hydrochloride	Neomycin sulfate 3.5 mg/g + 2 more ingredients	CreamTopical	CVS Pharmacy	69842-754
Antibiotic Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 500 [iU]/g + 2 more ingredients	OintmentTopical	Walgreens	0363-0018
ANTIBIOTIC Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfate	Bacitracin zinc 500 [iU]/g + 2 more ingredients	OintmentTopical	Walgreens Co.	0363-1331
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochloride	Neomycin sulfate 3.5 mg/g + 2 more ingredients	CreamTopical	Kroger Company	30142-790

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