Over-the-counter drug · OTC MONOGRAPH DRUG
triple antibiotic and pain relief NDC 69842-562
bacitracin, neomycin, polymyxin b, pramoxine hydrochloride · Bacitracin zinc 500 [USP'U]/g + 3 more ingredients · Ointment · Topical · CVS Pharmacy
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69842-562Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0562Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69842-562-17 | 6984205621769842056217 | 2 TUBE in 1 CARTON (69842-562-17) / 28 g in 1 TUBEMarketed from Aug 13, 2023 | |
| 69842-562-58 | 6984205625869842056258 | 1 TUBE in 1 CARTON (69842-562-58) / 14 g in 1 TUBEMarketed from Sep 9, 2020 | |
| 69842-562-64 | 6984205626469842056264 | 1 TUBE in 1 CARTON (69842-562-64) / 28 g in 1 TUBEMarketed from Sep 9, 2020 |
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)
- triple antibiotic and pain relief
- Generic name (nonproprietary)
- bacitracin, neomycin, polymyxin b, pramoxine hydrochloride
- Active ingredients
- Bacitracin zinc — 500 [USP'U]/gNeomycin sulfate — 3.5 mg/gPolymyxin b sulfate — 10000 [USP'U]/gPramoxine hydrochloride — 10 mg/g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- CVS PharmacyNDC labeler code 69842
- 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 69842-562_5f7a5f93-2b3b-4cf5-8db9-c83f4e2c0428SPL ID 5f7a5f93-2b3b-4cf5-8db9-c83f4e2c0428SPL set ID f0864d78-23e6-4e6c-bc67-7ba3e6dd862cRxCUI 1359350UNII 89Y4M234ES, 057Y626693, 19371312D4, 88AYB867L5
- 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
N469842056217followed by a unit qualifier and the quantityPackage 69842-0562-17. 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)
Uses first aid to help prevent infection and for temporary relief of pain or discomfort in minor: • cuts • scrapes • burns
Excerpt only. Read the full label for complete information.
About NDC 69842-562
- What is NDC 69842-562?
- 69842-562 is the product NDC for triple antibiotic and pain relief, Bacitracin zinc 500 [USP'U]/g + 3 more ingredients ointment, listed with the FDA by CVS Pharmacy. It has 3 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- triple antibiotic and pain relief (Bacitracin, neomycin, polymyxin B, pramoxine hydrochloride).
- What is the active ingredient?
- Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate, Pramoxine hydrochloride.
- Who is the labeler?
- CVS Pharmacy, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for triple antibiotic and pain relief?
- 2 other product NDCs are listed under this name. See all triple antibiotic and pain relief NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other triple antibiotic and pain relief products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Triple Antibiotic and Pain Relieftriple antibiotic | Bacitracin zinc 500 [USP'U]/g + 3 more ingredients | OintmentTopical | Target Corporation | 11673-746 | 11673-0746-28 |
| Triple Antibiotic and Pain Reliefbacitracin,neomycin,polymyxinb,pramoxine | Bacitracin zinc 500 [USP'U]/100g + 3 more ingredients | OintmentTopical | Trifecta Pharmaceutical USA LLC | 69396-132 | 69396-0132-01 |
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 |
|---|---|---|---|---|
| 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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