Trimol Salve
NDC Package 69396-010-15

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

Package Information

Trimol (ichthammol 20%) salves is apply topically to affected parts once or twice a day. This formulation utilizes a salve delivery system. Marketed by Trifecta Pharmaceuticals Usa Llc, this product is identified by NDC 69396-010.

Identification & Billing

NDC Package Code
69396-010-15
Package Description
400 g in 1 JAR
Product Code
69396-010
11-Digit Billing Format
69396001015

Clinical Specifications

Proprietary Name
Trimol
Non-Proprietary Name
Ichthammol 20%
Substance Name
Ichthammol
Dosage Form
Salve - A thick ointment or cerate (a fat or wax based preparation with a consistency between an ointment and a plaster).
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)
ICHTHAMMOL 20 g/100g
Usage Information
Apply topically to affected parts once or twice a day. A loose wrapping may be applied. Avoid prolonged exposure to excessive heat.

Regulatory & Marketing

Labeler Name
Trifecta Pharmaceuticals Usa Llc
Product Type
Human Otc Drug
Marketing Category
UNAPPROVED HOMEOPATHIC - A category specifying that a product is marketed as unapproved homeopathic product.
Start Marketing Date
03-29-2018
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 69396-010-15 identifies a specific commercial package of 400 g in 1 jar of Trimol, a human over the counter drug labeled by Trifecta Pharmaceuticals Usa Llc. This salve is formulated for topical use and contains ichthammol 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 Trifecta Pharmaceuticals Usa Llc on March 29, 2018. The current certification is valid through December 31, 2026.

How is this Trifecta Pharmaceuticals Usa Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69396001015. 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)
69396-010-15
11-Digit CMS (5-4-2)
69396-0010-15

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