Shopko
NDC Package 37012-016-01

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

Package Information

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

Shopko is clean the affected area and dry thoroughlyapply 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 dailymay be covered with a sterile bandage. Marketed by Shopko Stores Operating Co., Llc, this product is identified by NDC 37012-016 and is authorized under FDA application part333B.

Identification & Billing

NDC Package Code
37012-016-01
Package Description
1 TUBE in 1 CARTON / 14.2 g in 1 TUBE
Product Code
37012-016
11-Digit Billing Format
37012001601
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

Clinical Specifications

Proprietary Name
Shopko Triple Antibiotic
Dosage Form
-
Usage Information
Clean the affected area and dry thoroughlyapply 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 dailymay be covered with a sterile bandage

Regulatory & Marketing

Labeler Name
Shopko Stores Operating Co., Llc
FDA Application #
part333B
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
12-14-1995
Listing Expiration
12-31-2019
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (37012-016). Click a package code to view its specific billing and regulatory data.

37012-016-02
1 TUBE in 1 CARTON / 28.4 g in 1 TUBE

* 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 37012-016-01 identifies a specific commercial package of 1 tube in 1 carton / 14.2 g in 1 tube of Shopko Triple Antibiotic, labeled by Shopko Stores Operating Co., Llc. 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 Shopko Stores Operating Co., Llc on December 14, 1995. The current certification is valid through December 31, 2019.

How is this Shopko Stores Operating Co., Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 37012001601. 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 (5-3-2)
37012-016-01
11-Digit CMS (5-4-2)
37012-0016-01

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