Welly Polka First Aid Kit
NDC Package 84956-009-01

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

Package Information

Welly Polka First Aid Kit (hydrocortisone, bacitracin zinc, neomycin sulfate, polymyxin b sulfate) kits is ● Adults and children 2 years of age and older: Apply to affected area not more than 3 to 4 times daily. This formulation utilizes a kit delivery system. Marketed by Dongguan Shenglian Tins Products Co., Ltd., this product is identified by NDC 84956-009 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
84956-009-01
Package Description
1 KIT in 1 KIT * .9 g in 1 PACKET (84956-011-01) * .5 g in 1 PACKET (84956-007-01)
Product Code
84956-009
11-Digit Billing Format
84956000901
RxNorm Crosswalk
  • RxCUI: 106258 - hydrocortisone 1 % Topical Cream
  • RxCUI: 106258 - hydrocortisone 10 MG/ML Topical Cream
  • RxCUI: 106258 - hydrocortisone 1 % (as hydrocortisone acetate 1.2 % ) Topical Cream
  • RxCUI: 106258 - hydrocortisone 1 GM per 100 GM Topical Cream
  • RxCUI: 204602 - bacitracin 400 UNT / neomycin 3.5 MG / polymyxin B 5000 UNT per GM Topical Ointment

Clinical Specifications

Proprietary Name
Welly Polka First Aid Kit
Non-Proprietary Name
Hydrocortisone, Bacitracin Zinc, Neomycin Sulfate, Polymyxin B Sulfate
Dosage Form
Kit - A packaged collection of related material.
Usage Information
● Adults and children 2 years of age and older: Apply to affected area not more than 3 to 4 times daily. ● Children under 2 years of age: Do not use and ask a doctor. ● Clean affected area and dry thoroughly. ● Apply small amount of product (amount equal to the surface area of the tip of a finger) on the area not more than 1-3 times daily ● May be covered by sterile bandage. ● Children under 2 years of age: Do not use, consult a doctor.

Regulatory & Marketing

Labeler Name
Dongguan Shenglian Tins Products Co., Ltd.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-07-2025
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 84956-009-01 identifies a specific commercial package of 1 kit in 1 kit * .9 g in 1 packet (84956-011-01) * .5 g in 1 packet (84956-007-01) of Welly Polka First Aid Kit, a human over the counter drug labeled by Dongguan Shenglian Tins Products Co., Ltd.. This kit is formulated for use and contains 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 Dongguan Shenglian Tins Products Co., Ltd. on July 07, 2025. The current certification is valid through December 31, 2026.

How is this Dongguan Shenglian Tins Products Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84956000901. 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)
84956-009-01
11-Digit CMS (5-4-2)
84956-0009-01

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