What is NDC 87609-104?

87609-104 is the product NDC for TOME Clearing Treatment kit, listed with the FDA by Dermata Therapeutics, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

TOME Clearing Treatment (0.5% Salicylic Acid Wipe with Bioneedle Mask).

Dermata Therapeutics, Inc., NDC labeler code 87609. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for TOME Clearing Treatment?

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.

TOME Clearing Treatment NDC 87609-104 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)87609-104Labeler and product segments. Claims need a package NDC.

Product NDC at billing width87609-0104Add 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
87609-104-01	87609010401	4 BOX in 1 BOX (87609-104-01) / 1 PACKET in 1 BOX / 1 KIT in 1 PACKET * 3 mL in 1 TUBE * 3.66 g in 1 PACKET * 1 g in 1 CUPMarketed from Sep 10, 2026
87609-104-02	87609010402	4 BOX in 1 BOX (87609-104-02) / 1 TUBE in 1 BOX / 1 KIT in 1 TUBE * 3 mL in 1 TUBE * 3.66 g in 1 PACKET * 1 g in 1 CUPMarketed from Sep 10, 2026
87609-104-03	87609010403	4 BOX in 1 BOX (87609-104-03) / 1 CUP in 1 BOX / 1 KIT in 1 CUP * 3 mL in 1 TUBE * 3.66 g in 1 PACKET * 1 g in 1 CUPMarketed from Sep 10, 2026

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): TOME Clearing Treatment
Generic name (nonproprietary): 0.5% salicylic acid wipe with bioneedle mask
Dosage form: Kit
Route: Topical
Labeler: Dermata Therapeutics, Inc.NDC labeler code 87609
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 006
Marketing start: Sep 10, 2026
Listing expires: Dec 31, 2027
Identifiers: Product ID 87609-104_5bcb4312-6647-32ca-e063-6294a90aa7f7SPL ID 5bcb4312-6647-32ca-e063-6294a90aa7f7

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

N487609010401 followed by a unit qualifier and the quantity

Package 87609-0104-01. 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

The FDA listing for this product does not reference a label (SPL) set.

About NDC 87609-104

What is NDC 87609-104?: 87609-104 is the product NDC for TOME Clearing Treatment kit, listed with the FDA by Dermata Therapeutics, Inc.. It has 3 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: TOME Clearing Treatment (0.5% Salicylic Acid Wipe with Bioneedle Mask).
Who is the labeler?: Dermata Therapeutics, Inc., NDC labeler code 87609. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for TOME Clearing Treatment?: 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 006

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

FDA NDC Directory listings under M 006
Product	Strength	Form · route	Labeler	Product NDC
10 Acne Medbenzoyl peroxide	Benzoyl peroxide 100 mg/mL	GelTopical	Face Reality, Inc.	70707-151
10% Azelaic Acidazelaic acid cream	Azelaic acid 10 g/100g	CreamTopical	Guangzhou Ariel Medical Technology Co., Ltd.	87815-002
111 Medco Benzoyl Peroxidebenzoyl peroxide	Benzoyl peroxide 100 mg/g	SoapTopical	111 Medco	72811-137
111MedCo 2% Salicylic Acid Cleansing Barsalicylic acid	Salicylic acid 20 mg/g	SoapTopical	111MedCo LLC	72811-000
111MedCo 6% Sulfur Skin Cleansing Barsulfur	Sulfur 60 mg/g	SoapTopical	111MedCo LLC	72811-001
14% Azelaic Acidazelaic acid	Azelaic acid 14 g/100g	CreamTopical	Guangzhou Ariel Medical Technology Co., Ltd.	87815-003
14% Azelaic Acid Acneazelaic acid	Azelaic acid 14 g/100g	CreamTopical	Guangdong Bisutang Biotechnology Co., Ltd.	84753-056
2.5 Acne Medbenzoyl peroxide	Benzoyl peroxide 25 mg/mL	GelTopical	Face Reality, Inc.	70707-152
24 Hour Acne Serumbenzoyl peroxide	Benzoyl peroxide 5 g/100g	GelTopical	Drmtlgy, LLC	83286-007
24 Hour Sensitive Skin Acne Clearing Systemsalicylic acid	—	Kit	Acne Free LLC	80861-118
24 Pk Blemish Dotsalicylic acid 0.5%	Salicylic acid .5 g/100g	PatchTopical	Ganzhou Olivee Cosmetic Co., Ltd.	56136-170
24 Pk Blemish Dotsalicylic acid 0.5%	Salicylic acid .5 g/100g	PatchTopical	Ganzhou Olivee Cosmetic Co., Ltd.	56136-171
24 Pk Blemish Dotsalicylic acid 0.5%	Salicylic acid .5 g/100g	PatchTopical	Ganzhou Olivee Cosmetic Co., Ltd.	56136-172
30 day Acne Treatment Kitsalicylic acid, benzoyl peroxide	—	KitTopical	Cosmetic Enterprises Ltd	56152-0250
5 Percent Benzoyl Peroxide Cleanserbenzoyl peroxide	Benzoyl peroxide 50 mg/mL	GelTopical	Brand Evangelists for Beauty Limited	81136-023
Abib Acne foam cleanser Heartleaf foamsalicylic acid	Salicylic acid .65 g/100mL	CreamTopical	Fourcompany Co., Ltd.	73676-101
Acne Advanced Clarifying Hydratorsalicylic acid	Salicylic acid 10 mg/mL	CreamTopical	Eminence Organic Skin Care Ltd.	15751-3030
Acne Advanced Clarifying Masquesalicylic acid	Salicylic acid 5 mg/mL	CreamTopical	Eminence Organic Skin Care Ltd.	15751-3020
Acne Advanced Treatment Systemsalicylic acid	—	Kit	Eminence Organic Skin Care Ltd.	15751-3000
Acne And Line Correcting Serumsalicylic acid	Salicylic acid 10 mg/mL	LotionTopical	CLINIQUE LABORATORIES LLC	49527-053

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