Over-the-counter drug · OTC MONOGRAPH DRUG

Walgreens Lice Killing NDC 0363-1253

piperonyl butoxide, pyrethrum extract · Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL · Shampoo · Topical · Walgreens CO

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1253Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1253Add 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
0363-1253-02003631253021 BOTTLE in 1 CARTON (0363-1253-02) / 59 mL in 1 BOTTLEMarketed from Feb 21, 2019
0363-1253-0400363125304118 mL in 1 BOTTLE (0363-1253-04)Marketed from Feb 21, 2019
0363-1253-08003631253081 BOTTLE in 1 CARTON (0363-1253-08) / 237 mL in 1 BOTTLEMarketed from Feb 25, 2019

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 Lice Killing
Generic name (nonproprietary)
piperonyl butoxide, pyrethrum extract
Active ingredients
Piperonyl butoxide — 4 g/100mLPyrethrum extract — .33 g/100mL
Dosage form
Shampoo
Route
Topical
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 031
Marketing start
Listing expires
Identifiers
Product ID 0363-1253_0bf352b3-bb21-25d5-e063-6394a90a1e58SPL ID 0bf352b3-bb21-25d5-e063-6394a90a1e58SPL set ID 82bbdd69-1ad1-ec84-e053-2991aa0a15fcRxCUI 283219UNII LWK91TU9AH, ZUM06L90GV

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

N400363125302 followed by a unit qualifier and the quantity

Package 00363-1253-02. 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)

Uses treats head, pubic (crab), and body lice

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 031

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

FDA NDC Directory listings under M 031
ProductStrengthForm · routeLabelerProduct NDC
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPHARMACY VALUE ALLIANCE LLC68016-253
GNP Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalAmerisourceBergen Drug Corporation46122-759
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPharmadel55758-253
Quality Choice Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalQuality Choice83324-269
Quality Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract—KitTopicalChain Drug Marketing Association83324-268
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalPHARMACY VALUE ALLIANCE LLC68016-552
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalTopco Associates, LLC76162-255
Topcare Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalTopco Associates, LLC76162-253
Lice No More Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc11383-001
Quita Piojos Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalDLC Laboratories24286-1253
ZAP Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalDLC laboratories Inc.24286-0253
RID Lice Killingpiperonyl butoxide and pyrethrum extractPiperonyl butoxide 40 mg/mL; Pyrethrum extract .033 mg/mLShampooTopicalOystershell Consumer Health Inc82392-100
RID Lice Treatment Complete Kitpiperonyl butoxide, pyrethrum extract—KitOystershell Consumer Health Inc82392-101
Mata Piojos Licepiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalGRANDALL DISTRIBUTING, LLC48201-006
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalThe Kroger Co30142-252
Kroger Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalThe Kroger Co30142-253
Meijer Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMeijer, Inc.79481-2530
Leader Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalLEADER/ Cardinal Health 110, Inc.70000-0633
Meijer Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalMeijer, Inc.79481-2550
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract—KitTopicalRite Aid11822-6611

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