NDC codes

FDA NDC Directory
Product NDC (as listed)84387-006Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84387-0006Add 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
84387-006-01843870006018438700060128.4 g in 1 TUBE (84387-006-01)Marketed from Nov 12, 2024

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)
Triplet Antibiotic
Generic name (nonproprietary)
triplet antibiotic
Active ingredients
Bacitracin zinc — 400 [USP'U]/gNeomycin sulfate — 5 mg/gPolymyxin b sulfate — 5000 [iU]/g
Dosage form
Ointment
Route
Topical
Labeler
ALLIED TRADE LINK LLCNDC labeler code 84387
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 84387-006_26bd5ba4-264c-2a28-e063-6394a90ada80SPL ID 26bd5ba4-264c-2a28-e063-6394a90ada80SPL set ID 26bd5ba4-264b-2a28-e063-6394a90ada80RxCUI 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

N484387000601 followed by a unit qualifier and the quantity

Package 84387-0006-01. 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

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Clean the affected area. Apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily. May be covered with a sterile bandage.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 84387-006

What is NDC 84387-006?
84387-006 is the product NDC for Triplet Antibiotic, Bacitracin zinc 400 [USP'U]/g + 2 more ingredients ointment, listed with the FDA by ALLIED TRADE LINK LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Triplet Antibiotic.
What is the active ingredient?
Bacitracin zinc, Neomycin sulfate, Polymyxin b sulfate.
Who is the labeler?
ALLIED TRADE LINK LLC, NDC labeler code 84387. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Triplet Antibiotic?
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
ProductStrengthForm · routeLabelerProduct NDC
A-Cute Derm Antisepationbenzethonium chlorideBenzethonium chloride 2 mg/mLGelCutaneousABBE Laboratories, Inc.68605-7171
A-Cute Derm B-Kleerbenzethonium chlorideBenzethonium chloride 2 mg/mLGelCutaneousABBE Laboratories, Inc.68605-1040
Aerosoothetriple antibiotic ointmentBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalAero Healthcare US LLC55305-123
Alcare Extra Hand SanitizeralcoholAlcohol 85.6 mL/100mLSolutionTopicalSC Johnson Professional USA Inc.11084-009
Always Save Bacitracin Zincbacitracin zincBacitracin zinc 500 [USP'U]/gOintmentTopicalTrifecta Pharmaceuticals USA LLC69396-148
American Safety and First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalOrazen Inc71927-016
American Safety First Aid Antispeticisopropyl alcoholIsopropyl alcohol 700 mg/1000mLSprayTopicalOrazen Inc71927-014
Anti-Itch with Aloehydrocortisone 1%Hydrocortisone 1 g/100gCreamTopicalChain Drug Marketing Association Inc.83324-046
Antibacterial Hand Wipes (0.13% Benzalkonium Chloride)benzalkonium chlorideBenzalkonium chloride 5.2 mg/1ClothTopicalEleeo Brands LLC79747-013
AntibioticbacitracinBacitracin 500 [USP'U]/gOintmentTopicalTopco Associates LLC36800-536
antibioticneomycin, polymyxin b, pramoxine hclNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalH E B37808-005
Antibioticbacitracin zinc, polymyxin b sulfateBacitracin zinc 500 [iU]/g; Polymyxin b sulfate 10000 [iU]/gOintmentTopicalCVS PHARMACY, INC51316-044
Antibioticneomycin sulfateNeomycin sulfate 3.5 mg/gOintmentTopicalTotal Resources International55550-730
Antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCVS Pharmacy69842-199
Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 6 mg/mL + 2 more ingredientsOintmentTopicalWelly Health PBC72663-560
Antibiotic and Pain Reliefneomycin sulfate, polymyxin b sulfate, and pramoxine hydrochloridePolymyxin b sulfate 10000 [USP'U]/g + 2 more ingredientsCreamTopicalTarget Corporation11673-770
Antibiotic and Pain Reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalCVS Pharmacy69842-754
Antibiotic Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [iU]/g + 2 more ingredientsOintmentTopicalWalgreens0363-0018
ANTIBIOTIC Maximum Strengthbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [iU]/g + 2 more ingredientsOintmentTopicalWalgreens Co.0363-1331
antibiotic plus pain reliefneomycin, polymyxin b, pramoxine hydrochlorideNeomycin sulfate 3.5 mg/g + 2 more ingredientsCreamTopicalKroger Company30142-790

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