Polvos De Sulpha
NDC Package 53145-304-04

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

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

Polvos De Sulpha is clean the affected area apply a light dusting of the powder on the area 1 to 3 times daily may be covered with a sterile bandages children under 2 years of age: consult a doctor. Marketed by Menper Distributors Inc., this product is identified by NDC 53145-304 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
53145-304-04
Package Description
7.5 g in 1 BOTTLE, PLASTIC
Product Code
11-Digit Billing Format
53145030404
RxNorm Crosswalk
  • RxCUI: 308513 - bacitracin 500 UNT / polymyxin B 10,000 UNT per GM Topical Powder
  • RxCUI: 308513 - bacitracin 0.5 UNT/MG / polymyxin B 10 UNT/MG Topical Powder
  • RxCUI: 308513 - bacitracin 500 UNT/GM / polymyxin B 10,000 UNT/GM Topical Powder

Clinical Specifications

Proprietary Name
Polvos De Sulpha First Aid Antibiotic
Dosage Form
-
Usage Information
Clean the affected area apply a light dusting of the powder on the area 1 to 3 times daily may be covered with a sterile bandages children under 2 years of age: consult a doctor

Regulatory & Marketing

Labeler Name
Menper Distributors Inc.
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-11-2006
Listing Expiration
12-31-2026
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 53145-304-04 identifies a specific commercial package of 7.5 g in 1 bottle, plastic of Polvos De Sulpha First Aid Antibiotic, labeled by Menper Distributors Inc.. 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 Menper Distributors Inc. on December 11, 2006. The current certification is valid through December 31, 2026.

How is this Menper Distributors Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53145030404. 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)
53145-304-04
11-Digit CMS (5-4-2)
53145-0304-04

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