CVS Triple Antibiotic NDC 69842-610

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-610Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0610Add 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
69842-610-71	69842061071	1 BOTTLE in 1 PACKAGE (69842-610-71) / 7.7 g in 1 BOTTLEMarketed from Nov 1, 2008

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): CVS Triple Antibiotic
Generic name (nonproprietary): bacitracin, neomycin, polymyxin b
Active ingredients: Bacitracin zinc — 400 [USP'U]/gNeomycin sulfate — 3.5 mg/gPolymyxin b sulfate — 5000 [USP'U]/g
Dosage form: Ointment
Route: Topical
Labeler: CVS Pharmacy
Product type: Over-the-counter drug
Marketing category: OTC monograph (final)Application part333B
Marketing start: Nov 1, 2008
Listing expires: Dec 31, 2026
Other FDA classes: Aminoglycosides (Chemical structure)Decreased Cell Wall Synthesis & Repair (Physiologic effect)Polymyxins (Chemical structure)
Identifiers: Product ID 69842-610_45d5e475-0982-038e-e054-00144ff88e88SPL ID 45d5e475-0982-038e-e054-00144ff88e88SPL set ID 454bfeed-f58f-003a-e054-00144ff8d46cRxCUI 204602UNII 89Y4M234ES, 057Y626693, 19371312D4
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

N469842061071 followed by a unit qualifier and the quantity

Package 69842-0610-71. 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 Jan 4, 2017.

Indications (excerpt from the label)

Uses first aid to help prevent infection in minor: • cuts • scrapes • burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under part333B

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

FDA NDC Directory listings under part333B
Product	Strength	Form · route	Labeler	Product NDC
Water-Jel 3-in-1 Antibioticbacitracin zinc, polymyxin b sulfate, neomycin sulfate	Bacitracin zinc 417.8 [iU]/g + 2 more ingredients	OintmentTopical	Water-Jel Technologies	59898-740