NDC codes

FDA NDC Directory
Product NDC (as listed)0363-3255Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-3255Add 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
0363-3255-0100363325501003633255011 KIT in 1 CARTON (0363-3255-01) * 118 mL in 1 BOTTLE * 59 mL in 1 BOTTLE, SPRAYMarketed from Jan 3, 2014

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 Elimination
Generic name (nonproprietary)
piperonyl butoxide, pyrethrum extract
Dosage form
Kit
Route
Topical
Labeler
WalgreensNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 031
Marketing start
Listing expires
Identifiers
Product ID 0363-3255_4252899f-4ea7-0e8a-e063-6394a90a1e2cSPL ID 4252899f-4ea7-0e8a-e063-6394a90a1e2cSPL set ID 8876272e-6bfd-6844-e053-2995a90a834fRxCUI 283219

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

N400363325501 followed by a unit qualifier and the quantity

Package 00363-3255-01. 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)

About NDC 0363-3255

What is NDC 0363-3255?
0363-3255 is the product NDC for Walgreens Lice Elimination kit, listed with the FDA by Walgreens. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens Lice Elimination (Piperonyl butoxide, Pyrethrum extract).
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 Lice Elimination?
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 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
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
Major Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMajor Pharmaceuticals0904-7349
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalThe Kroger Co30142-252
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract—KitTopicalRite Aid11822-6611
Kroger Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalThe Kroger Co30142-253
Rite Aid Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalRite Aid Corp11822-6616
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-310
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPHARMACY VALUE ALLIANCE LLC68016-253
Mata Piojos Licepiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalGRANDALL DISTRIBUTING, LLC48201-006
ABC Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-312
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPharmadel55758-253
Topcare Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalTopco Associates, LLC76162-253
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalTopco Associates, LLC76162-255
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalPHARMACY VALUE ALLIANCE LLC68016-552
Walgreens Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWalgreens CO0363-1253
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
Meijer Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMeijer, Inc.79481-2530
Vanalicepiperonyl butoxide, pyrethrumPiperonyl butoxide 35 mg/mL; Pyrethrum extract 3 mg/mLGelTopicalGM Pharmaceuticals, INC58809-650

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