Rite Aid Double Antibiotic
NDC Package 11822-0093-5

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Rite Aid Double Antibiotic is clean the affected areaapply a small amount (equal to surface area of tip of finger) on the area 1 to 3 times daily.may be covered with a sterile bandage. Marketed by Rite Aid, this product is identified by NDC 11822-0093 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
11822-0093-5
Package Description
1 TUBE in 1 CARTON / 14 g in 1 TUBE
Product Code
11822-0093
11-Digit Billing Format
11822009305
RxNorm Crosswalk
  • RxCUI: 308512 - bacitracin 500 UNT / polymyxin B 10,000 UNT per GM Topical Ointment
  • RxCUI: 308512 - bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Topical Ointment

Clinical Specifications

Proprietary Name
Rite Aid Double Antibiotic
Dosage Form
-
Usage Information
Clean the affected areaapply a small amount (equal to surface area of tip of finger) on the area 1 to 3 times daily.may be covered with a sterile bandage

Regulatory & Marketing

Labeler Name
Rite Aid
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
10-01-2022
Listing Expiration
12-31-2025
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 11822-0093-5 identifies a specific commercial package of 1 tube in 1 carton / 14 g in 1 tube of Rite Aid Double Antibiotic, labeled by Rite Aid. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Rite Aid on October 01, 2022. The current certification is valid through December 31, 2025.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822009305. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-4-1)
11822-0093-5
11-Digit CMS (5-4-2)
11822-0093-05

Note: The zero is added to the Package segment to maintain the 5-4-2 structure.