Cuadriderma Ointment
NDC Package 58988-1170-1

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

Package Information

Cuadriderma (bacitracin zinc, polymyxin b sulfate, neomycin sulfate, and pramoxine hydrochloride) ointment is adults and children 2 years and older:*clean affected area*apply a small amount (equal to surface area of tip of finger) on area 1 to 3 times daily.*may be covered with sterile bandage.Children under 2 years: ask a doctor. This formulation utilizes a ointment delivery system. Marketed by Promex Llc, this product is identified by NDC 58988-1170 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
58988-1170-1
Package Description
1 TUBE in 1 CARTON / 28.35 g in 1 TUBE
Product Code
58988-1170
11-Digit Billing Format
58988117001
RxNorm Crosswalk
  • RxCUI: 1359350 - bacitracin 500 UNT / neomycin 3.5 MG / polymyxin B 10,000 UNT / pramoxine HCl 10 MG in GM Topical Ointment
  • RxCUI: 1359350 - bacitracin 0.5 UNT/MG / neomycin 0.0035 MG/MG / polymyxin B 10 UNT/MG / pramoxine hydrochloride 0.01 MG/MG Topical Ointment
  • RxCUI: 1359350 - bacitracin 500 UNT / neomycin 3.5 MG / polymyxin B 10,000 UNT / pramoxine HCl 10 MG per GM Topical Ointment
  • RxCUI: 1673566 - Cuadriderma 500 UNT / 3.5 MG / 10,000 UNT / 10 MG per GM Topical Ointment
  • RxCUI: 1673566 - bacitracin 0.5 UNT/MG / neomycin 0.0035 MG/MG / polymyxin B 10 UNT/MG / pramoxine hydrochloride 0.01 MG/MG Topical Ointment [Cuadriderma]

Clinical Specifications

Proprietary Name
Cuadriderma
Non-Proprietary Name
Bacitracin Zinc, Polymyxin B Sulfate, Neomycin Sulfate, And Pramoxine Hydrochloride
Substance Name
Bacitracin Zinc; Neomycin Sulfate; Polymyxin B Sulfate; Pramoxine Hydrochloride
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
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults and children 2 years and older:*clean affected area*apply a small amount (equal to surface area of tip of finger) on area 1 to 3 times daily.*may be covered with sterile bandage.Children under 2 years: ask a doctor

Regulatory & Marketing

Labeler Name
Promex Llc
Product Type
Human Otc Drug
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-31-2013
Listing Expiration
12-31-2026
Exclude Flag
N
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 58988-1170-1 identifies a specific commercial package of 1 tube in 1 carton / 28.35 g in 1 tube of Cuadriderma, a human over the counter drug labeled by Promex Llc. This ointment is formulated for topical use and contains bacitracin zinc; neomycin sulfate; polymyxin b sulfate; pramoxine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Promex Llc on May 31, 2013. The current certification is valid through December 31, 2026.

How is this Promex Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 58988117001. 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)
58988-1170-1
11-Digit CMS (5-4-2)
58988-1170-01

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