What is NDC 0363-1217?

0363-1217 is the product NDC for Walgreens Hemorrhoidal Pain Relief, Lidocaine 5 g/100g + 3 more ingredients cream, listed with the FDA by Walgreens. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Walgreens Hemorrhoidal Pain Relief (Glycerin 14.4%, Lidocaine 5%, Petrolatum 15%, Phenylephrine HCl 0.25%).

What is the active ingredient?

Lidocaine, Petrolatum, Glycerin, Phenylephrine hydrochloride.

Walgreens, 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 Hemorrhoidal Pain Relief?

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.

Walgreens Hemorrhoidal Pain Relief NDC 0363-1217

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-1217Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-1217Add 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 NDC	11-digit (billing)	Package	Copy
0363-1217-00	0036312170000363121700	2 g in 1 PACKET (0363-1217-00)Marketed from Dec 22, 2023
0363-1217-01	0036312170100363121701	28 g in 1 TUBE (0363-1217-01)Marketed from Mar 8, 2023

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 Hemorrhoidal Pain Relief
Generic name (nonproprietary): glycerin 14.4%, lidocaine 5%, petrolatum 15%, phenylephrine hcl 0.25%
Active ingredients: Lidocaine — 5 g/100gPetrolatum — 15 g/100gGlycerin — 14.4 g/100gPhenylephrine hydrochloride — .25 g/100g
Dosage form: Cream
Route: Topical
Labeler: WalgreensNDC labeler code 0363
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 015
Marketing start: Mar 8, 2023
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha1-Agonists (Mechanism)Allergens (Chemical structure)Amides (Chemical structure)Cell-mediated Immunity (Physiologic effect)Glycerol (Chemical structure)Increased Histamine Release (Physiologic effect)Increased IgG Production (Physiologic effect)Local Anesthesia (Physiologic effect)
Identifiers: Product ID 0363-1217_22905917-65b6-0c81-e063-6394a90a8571SPL ID 22905917-65b6-0c81-e063-6394a90a8571SPL set ID e79ed7ae-0d06-2f88-e053-2995a90a1e35RxCUI 2642220UNII 98PI200987, 4T6H12BN9U, PDC6A3C0OX, 04JA59TNSJUPC 0311917124773
Pharmacologic class: Amide Local Anesthetic; Antiarrhythmic; Non-Standardized Chemical Allergen; alpha-1 Adrenergic Agonist

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

N400363121700 followed by a unit qualifier and the quantity

Package 00363-1217-00. 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 Sep 20, 2024.

Indications (excerpt from the label)

For the temporary relief of pain, soreness, and burning. Helps relieve the local itching and discomfort associated with hemorrhoids. Temporarily shrinks hemorrhoidal tissue. Temporarily provides a coating for the relief of anorectal discomforts. Temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1217

What is NDC 0363-1217?: 0363-1217 is the product NDC for Walgreens Hemorrhoidal Pain Relief, Lidocaine 5 g/100g + 3 more ingredients cream, listed with the FDA by Walgreens. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Walgreens Hemorrhoidal Pain Relief (Glycerin 14.4%, Lidocaine 5%, Petrolatum 15%, Phenylephrine HCl 0.25%).
What is the active ingredient?: Lidocaine, Petrolatum, Glycerin, Phenylephrine hydrochloride.
Who is the labeler?: Walgreens, 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 Hemorrhoidal Pain Relief?: 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 015

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

FDA NDC Directory listings under M 015
Product	Strength	Form · route	Labeler	Product NDC
Pramoxine Hydrochloride Anorectalpramoxine hydrochloride	Pramoxine hydrochloride 1 mg/mL	LotionTopical	Stratus Pharmaceuticals	58980-522
Ma Ying Long Musk Hemorrhoidspetrolatum, zinc oxide	Petrolatum 779.9 mg/g; Zinc oxide 76 mg/g	OintmentTopical	Mayinglong Pharmaceutical Group Co., Ltd.	68511-997
Mayinglong Hemorrhoidalpetrolatum, zinc oxide	Petrolatum 779.9 mg/g; Zinc oxide 76 mg/g	OintmentTopical	Mayinglong Pharmaceutical Group Co., Ltd.	68511-998
hemorrhoidal maximum strength pain reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatum	Glycerin 14.4 g/100g + 3 more ingredients	CreamTopical	Kroger Company	30142-944
Preparation Hcocoa butter, phenylephrine hydrochloride, and witch hazel	—	Kit	Haleon US Holdings LLC	0573-2884
Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl	Mineral oil 14 g/100g + 2 more ingredients	OintmentRectal	Kroger Company	30142-188
rexall hemorrhoidalcocoa butter, phenylephrine hcl	Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1	SuppositoryRectal	Dolgencorp Inc	55910-279
Witch Hazel	Witch hazel 860 mg/mL	LiquidTopical	CVS Pharmacy, Inc.	59779-045
Dermatool Hemorrhoidalglycerin, lidocaine, petrolatum, phenylephrine hcl	Lidocaine 5 g/100g + 3 more ingredients	CreamTopical	Papalo Group LLC	84728-413
Acolye Numbing Cream Anorectal(Hemorrhoidal) Creamlidocaine	Lidocaine 5 g/100g	CreamTopical	Guangzhou Haishi Biological Technology Co., Ltd.	60771-0028
Hemorrhoid Anestheticmineral oil, petrolatum, phenylephrine hcl	Petrolatum .749 g/g + 2 more ingredients	OintmentTopical	Savvy Care and Cosmetics	83650-110
hemorrhoidalcocoa butter, phenylephrine hcl	Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1	SuppositoryRectal	Meijer Distribution Inc	41250-279
Lidocaine Numbing Creamlidocaine	Lidocaine .05 g/g	CreamTopical	Shanghai Chuangshi Medical Technology (Group) Co., Ltd.	73557-311
RWWXII Deep Numbing Cream(Anorectal Hemorrhoidal Cream)lidocaine	Lidocaine 5 g/100g	CreamTopical	Guangzhou Haishi Biological Technology Co., Ltd.	60771-0027
Barrier Protectant Creambarrier cream	Menthol 1 mg/g; Zinc oxide 200 mg/g	OintmentTopical	Cardinal Health	63517-003
ER Hemorrhoidphenylephrine hcl	Mineral oil .14 g/g + 2 more ingredients	CreamRectal	EVER READY FIRST AID	72976-018
ANIXIKE Numbinglidocaine4% numbing	Lidocaine 4 g/100g	CreamTopical	Jiangxi Yudexi Pharmaceutical Co., LTD	85248-166
Meijer Maximum strength pain relieving cleansingbenzalkonium chloride and lidocaine hydrochloride	Benzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mL	LiquidTopical	MEIJER DISTRIBUTION, INC.	41250-287
hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatum	Glycerin 14.4 g/100g + 3 more ingredients	CreamTopical	Meijer Distribution Inc	41250-944
Equaline Hemorrhoidalcocoa butter, phenylephrine hcl	Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1	SuppositoryRectal	United Natural Foods, Inc. dba UNFI	41163-279

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