NDC Package 21130-409-58 Signature Care Triple Antibiotic

Bacitracin Zinc,Neomycin,Polymyxin B Ointment Topical - View Billable Units, 11-Digit Format, RxNorm

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
21130-409-58
Package Description:
1 TUBE in 1 CARTON / 14 g in 1 TUBE
Product Code:
Proprietary Name:
Signature Care Triple Antibiotic
Non-Proprietary Name:
Bacitracin Zinc, Neomycin, Polymyxin B
Substance Name:
Bacitracin Zinc; Neomycin Sulfate; Polymyxin B Sulfate
Usage Information:
•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
11-Digit NDC Billing Format:
21130040958
NDC to RxNorm Crosswalk:
  • RxCUI: 204602 - bacitracin 400 UNT / neomycin 3.5 MG / polymyxin B 5000 UNT per GM Topical Ointment
  • RxCUI: 204602 - bacitracin 0.4 UNT/MG / neomycin 0.0035 MG/MG / polymyxin B 5 UNT/MG Topical Ointment
  • RxCUI: 204602 - bacitracin 400 UNT / neomycin 3.5 MG (as neomycin sulfate 5 MG) / polymyxin B 5000 UNT per GM Topical Ointment
  • Product Type:
    Human Otc Drug
    Labeler Name:
    Safeway
    Dosage Form:
    Ointment - A semisolid3 dosage form, usually containing <20% water and volatiles5 and >50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
    Administration Route(s):
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
  • Sample Package:
    No
    FDA Application Number:
    part333B
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    10-14-2015
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Other Product Packages

    The following packages are also available for this product:

    NDC Package CodePackage Description
    21130-409-641 TUBE in 1 CARTON / 28 g in 1 TUBE

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 21130-409-58?

    The NDC Packaged Code 21130-409-58 is assigned to a package of 1 tube in 1 carton / 14 g in 1 tube of Signature Care Triple Antibiotic, a human over the counter drug labeled by Safeway. The product's dosage form is ointment and is administered via topical form.

    Is NDC 21130-409 included in the NDC Directory?

    Yes, Signature Care Triple Antibiotic with product code 21130-409 is active and included in the NDC Directory. The product was first marketed by Safeway on October 14, 2015 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 21130-409-58?

    The 11-digit format is 21130040958. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-221130-409-585-4-221130-0409-58