NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1065Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1065Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
0363-1065-0200363106502003631065021 BOTTLE, PLASTIC in 1 BOX (0363-1065-02) / 71 g in 1 BOTTLE, PLASTICMarketed from Jan 6, 2025

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
Walgreens Roll-On
Generic name (nonproprietary)
capsaisin 0.1%
Active ingredients
Capsaicin — .1 g/100g
Dosage form
Gel
Route
Topical
Labeler
Walgreens CoNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Identifiers
Product ID 0363-1065_1e65bf31-15c8-5e6a-e063-6394a90ac956SPL ID 1e65bf31-15c8-5e6a-e063-6394a90ac956SPL set ID 1e65bf31-15c7-5e6a-e063-6394a90ac956RxCUI 2639091UNII S07O44R1ZM

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N400363106502 followed by a unit qualifier and the quantity

Package 00363-1065-02. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective .

Indications (excerpt from the label)

Temporarily relieves minor pain associated with arthritis, simple backache, sprains, bruises, and muscle strains.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1065

What is NDC 0363-1065?
0363-1065 is the product NDC for Walgreens Roll-On (capsaisin 0.1%), Capsaicin .1 g/100g gel, listed with the FDA by Walgreens Co. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens Roll-On (Capsaisin 0.1%).
What is the active ingredient?
Capsaicin.
Who is the labeler?
Walgreens Co, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Walgreens Roll-On?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other NDCs under M 017

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
Extra Strength Itch Reliefdiphenhydramine hcl and zinc acetateDiphenhydramine hydrochloride 20 mg/g; Zinc acetate 1 mg/gSprayTopicalMeijer Distribution Inc79481-0598
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
Meijer Pain Relieving Balm Analgesictrolamine salicylateTrolamine salicylate 10 mg/gCreamTopicalMeijer Distribution, Inc41250-356
Ralli Rapid Pain Relief Roll onmentholMenthol 100 mg/mLGelTopicalTroy Manufacturing, Inc.63936-9527
CVS Health Pain Relievingcamphor (synthetic), menthol (unspecified form), methyl salicylateCamphor (Synthetic) 28 mg/1 + 2 more ingredientsPatchTransdermalNatural Essentials, Inc.66902-280
Pbz Otctripelennamine hcl 1%Tripelennamine 1 g/100gCreamTopicalKingsway Pharmaceuticals dba NFI, LLC69993-151
HydrocortisoneHydrocortisone 1 g/100gCreamTopicalHenry Schein0404-0166
American Safety and First Aidhydrocortisone acetateHydrocortisone acetate 10 mg/gCreamTopicalOrazen Inc71927-015
MyDerm Bite ReliefbenzocaineBenzocaine 5 g/100gOintmentTopicalInspec Solutions LLC.72667-019
Thera Plus Maximum Strength HydrocortisonehydrocortisoneHydrocortisone 10 mg/gCreamTopicalFourstar Group USA, Inc80684-197
Lidocaine 4%Lidocaine 400 mg/10gPatchTransdermalMarcella Health85096-201
Tough Love Pain Relievinglidocaine hclLidocaine 4 g/100gCreamTopicalAllure Labs62742-4222
Stopain Extra Strength GelmentholMenthol 80 mg/mLGelTopicalTroy Manufacturing, Inc.63936-9506
Fast Freeze Lidocaine Roll-Onlidocaine hydrochloride, benzyl alcoholLidocaine hydrochloride 40 mg/mL; Benzyl alcohol 10 mg/mLLiquidTopicalNatural Essentials, Inc.66902-235
Walgreens pain relievinglidocaine 4%Lidocaine 4 g/100gAerosol, SprayTopicalWalgreens0363-3038
Bikini Zone Medicated CremelidocaineLidocaine 2 g/100gCreamTopicalKingsway Pharmaceuticals dba NFI, LLC69993-043
American Safety First Aidlidocaine hclLidocaine hydrochloride 20 mg/mLSprayTopicalOrazen Inc71927-012
ACOLYE Lidocaine Cream Topical Analgesia Creamlidocaine,mentholLidocaine 4 g/100g; Menthol 1 g/100gCreamTopicalGuangdong Aimu Biological Technology Co., Ltd83566-617
Healmusz Eczemahydrocortisone 1% eczemaHydrocortisone 1 g/100gCreamTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-203
ELAIMEI Numbing Creamlidocaine 4%Lidocaine 4 g/100mLCreamTopicalShenzhen Shandian Jingling Technology Co., Ltd.83804-005

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