Sodium Sulfacetamide, Sulfur Liquid
NDC Package 69367-247-12

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

Sodium Sulfacetamide, Sulfur (sulfacetamide sodium and sulfur) liquids is sodium Sulfacetamide 10% and Sulfur 5% Cleanser is indicated in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis. This formulation utilizes a liquid delivery system. Marketed by Westminster Pharmaceuticals, Llc, this product is identified by NDC 69367-247.

Identification & Billing

NDC Package Code
69367-247-12
Package Description
340.2 g in 1 BOTTLE
Product Code
69367-247
11-Digit Billing Format
69367024712
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
340.2 GM
RxNorm Crosswalk
  • RxCUI: 999613 - sulfacetamide sodium 10 % / sulfur 5 % Medicated Liquid Soap
  • RxCUI: 999613 - sulfacetamide sodium 100 MG/ML / sulfur 50 MG/ML Medicated Liquid Soap
  • RxCUI: 999613 - sulfacetamide sodium 10 % / sulfur 5 % Topical Cleanser

Clinical Specifications

Proprietary Name
Sodium Sulfacetamide, Sulfur
Non-Proprietary Name
Sulfacetamide Sodium And Sulfur
Substance Name
Sulfacetamide Sodium; Sulfur
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
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
Sodium Sulfacetamide 10% and Sulfur 5% Cleanser is indicated in the topical control of acne vulgaris, acne rosacea and seborrheic dermatitis.

Regulatory & Marketing

Labeler Name
Westminster Pharmaceuticals, Llc
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
05-05-2020
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (69367-247). Click a package code to view its specific billing and regulatory data.

69367-247-06
170.3 g in 1 BOTTLE
69367-247-08
227 g in 1 BOTTLE

* 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 69367-247-12 identifies a specific commercial package of 340.2 g in 1 bottle of Sodium Sulfacetamide, Sulfur, a human prescription drug labeled by Westminster Pharmaceuticals, Llc. This liquid is formulated for topical use and contains sulfacetamide sodium; sulfur 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 Westminster Pharmaceuticals, Llc on May 05, 2020. The current certification is valid through December 31, 2026.

How is this Westminster Pharmaceuticals, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69367024712. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 340.2 total billable units per package. 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)
69367-247-12
11-Digit CMS (5-4-2)
69367-0247-12

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