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  5. NDC Package Code: 69396-041-01 Family Wellness Original

NDC Package 69396-041-01 Family Wellness Original

Family Wellness Bacitracin,Neomycin,Polymyxin B Ointment Topical - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
69396-041-01
Package Description:
1 TUBE in 1 BOX / 28.4 g in 1 TUBE
Product Code:
69396-041
Proprietary Name:
Family Wellness Original
Non-Proprietary Name:
Family Wellness Bacitracin, Neomycin, Polymyxin B
Substance Name:
Bacitracin Zinc; Neomycin Sulfate; Polymyxin B Sulfate
Usage Information:
Uses   first aid to help prevent infection in minor:● cuts ● scrapes ● burns
11-Digit NDC Billing Format:
69396004101
NDC to 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
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Trifecta Pharmaceuticals Usa Llc.
    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(s):
  • 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):
  • BACITRACIN ZINC 400 [USP'U]/g
  • NEOMYCIN SULFATE 3.5 mg/g
  • POLYMYXIN B SULFATE 5000 [USP'U]/g
    • Pharmacologic Class(es):
  • Aminoglycoside Antibacterial - [EPC] (Established Pharmacologic Class)
  • Aminoglycosides - [CS]
  • Decreased Cell Wall Synthesis & Repair - [PE] (Physiologic Effect)
  • Polymyxin-class Antibacterial - [EPC] (Established Pharmacologic Class)
  • Polymyxins - [CS]
    • Sample Package:
    No
    FDA Application Number:
    part333B
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    08-30-2019
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 69396-041-01?

    The NDC Packaged Code 69396-041-01 is assigned to a package of 1 tube in 1 box / 28.4 g in 1 tube of Family Wellness Original, a human over the counter drug labeled by Trifecta Pharmaceuticals Usa Llc.. The product's dosage form is ointment and is administered via topical form.

    Is NDC 69396-041 included in the NDC Directory?

    Yes, Family Wellness Original with product code 69396-041 is active and included in the NDC Directory. The product was first marketed by Trifecta Pharmaceuticals Usa Llc. on August 30, 2019 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 69396-041-01?

    The 11-digit format is 69396004101. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-269396-041-015-4-269396-0041-01