NDC codes

FDA NDC Directory
Product NDC (as listed)0363-1657Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-1657Add 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
0363-1657-03003631657030036316570385 g in 1 CAN (0363-1657-03)Marketed from Feb 5, 2024

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)
Lidocaine Hemorrhoid
Generic name (nonproprietary)
lidocaine hcl, phenylephrine hcl, witch hazel
Active ingredients
Witch hazel — 50 g/100gPhenylephrine hydrochloride — .25 g/100gLidocaine hydrochloride anhydrous — 5 g/100g
Dosage form
Spray
Route
Topical
Labeler
Walgreens CoNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 0363-1657_10a47899-f4a1-66e8-e063-6394a90a11ddSPL ID 10a47899-f4a1-66e8-e063-6394a90a11ddSPL set ID 10a47899-f4a0-66e8-e063-6394a90a11ddRxCUI 2099775UNII 101I4J0U34, 04JA59TNSJ, EC2CNF7XFPUPC 0311917040509
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic; 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

N400363165703 followed by a unit qualifier and the quantity

Package 00363-1657-03. 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 shrinks hemorrhoidal tissue Temporarily reduces the swelling and irritation associated with hemorrhoids and other anorectal disorders aids in protecting irritated anorectal areas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-1657

What is NDC 0363-1657?
0363-1657 is the product NDC for Lidocaine Hemorrhoid, Witch hazel 50 g/100g + 2 more ingredients spray, 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?
Lidocaine Hemorrhoid (Lidocaine HCl, Phenylephrine HCl, Witch Hazel).
What is the active ingredient?
Witch hazel, Phenylephrine hydrochloride, Lidocaine hydrochloride anhydrous.
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 Lidocaine Hemorrhoid?
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
ProductStrengthForm · routeLabelerProduct NDC
Pramoxine Hydrochloride Anorectalpramoxine hydrochloridePramoxine hydrochloride 1 mg/mLLotionTopicalStratus Pharmaceuticals58980-522
Ma Ying Long Musk Hemorrhoidspetrolatum, zinc oxidePetrolatum 779.9 mg/g; Zinc oxide 76 mg/gOintmentTopicalMayinglong Pharmaceutical Group Co., Ltd.68511-997
Mayinglong Hemorrhoidalpetrolatum, zinc oxidePetrolatum 779.9 mg/g; Zinc oxide 76 mg/gOintmentTopicalMayinglong Pharmaceutical Group Co., Ltd.68511-998
hemorrhoidal maximum strength pain reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalKroger Company30142-944
Preparation Hcocoa butter, phenylephrine hydrochloride, and witch hazel—KitHaleon US Holdings LLC0573-2884
Hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalKroger Company30142-188
rexall hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalDolgencorp Inc55910-279
Witch HazelWitch hazel 860 mg/mLLiquidTopicalCVS Pharmacy, Inc.59779-045
Dermatool Hemorrhoidalglycerin, lidocaine, petrolatum, phenylephrine hclLidocaine 5 g/100g + 3 more ingredientsCreamTopicalPapalo Group LLC84728-413
Acolye Numbing Cream Anorectal(Hemorrhoidal) CreamlidocaineLidocaine 5 g/100gCreamTopicalGuangzhou Haishi Biological Technology Co., Ltd.60771-0028
Hemorrhoid Anestheticmineral oil, petrolatum, phenylephrine hclPetrolatum .749 g/g + 2 more ingredientsOintmentTopicalSavvy Care and Cosmetics83650-110
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalMeijer Distribution Inc41250-279
Lidocaine Numbing CreamlidocaineLidocaine .05 g/gCreamTopicalShanghai Chuangshi Medical Technology (Group) Co., Ltd.73557-311
RWWXII Deep Numbing Cream(Anorectal Hemorrhoidal Cream)lidocaineLidocaine 5 g/100gCreamTopicalGuangzhou Haishi Biological Technology Co., Ltd.60771-0027
Barrier Protectant Creambarrier creamMenthol 1 mg/g; Zinc oxide 200 mg/gOintmentTopicalCardinal Health63517-003
ER Hemorrhoidphenylephrine hclMineral oil .14 g/g + 2 more ingredientsCreamRectalEVER READY FIRST AID72976-018
ANIXIKE Numbinglidocaine4% numbingLidocaine 4 g/100gCreamTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-166
Meijer Maximum strength pain relieving cleansingbenzalkonium chloride and lidocaine hydrochlorideBenzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mLLiquidTopicalMEIJER DISTRIBUTION, INC.41250-287
hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalMeijer Distribution Inc41250-944
Equaline Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalUnited Natural Foods, Inc. dba UNFI41163-279

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