Over-the-counter drug · OTC MONOGRAPH DRUG
Walgreens Lice Elimination (Piperonyl butoxide, pyrethrum extract) NDC 0363-3255
Kit · Topical · Walgreens
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0363-3255-01 | 0036332550100363325501 | 1 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
N400363325501followed by a unit qualifier and the quantityPackage 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.
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.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract | — | KitTopical | CVS | 69842-255 |
| CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract | — | KitTopical | CVS | 69842-255 |
| Major Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Major Pharmaceuticals | 0904-7349 |
| Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | The Kroger Co | 30142-252 |
| Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | Rite Aid | 11822-6611 |
| Kroger Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | The Kroger Co | 30142-253 |
| Rite Aid Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Rite Aid Corp | 11822-6616 |
| Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Weeks & Leo Co., Inc. | 11383-310 |
| Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | PHARMACY VALUE ALLIANCE LLC | 68016-253 |
| Mata Piojos Licepiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | GRANDALL DISTRIBUTING, LLC | 48201-006 |
| ABC Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Weeks & Leo Co., Inc. | 11383-312 |
| El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Pharmadel | 55758-253 |
| Topcare Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Topco Associates, LLC | 76162-253 |
| Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | Topco Associates, LLC | 76162-255 |
| Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | PHARMACY VALUE ALLIANCE LLC | 68016-552 |
| Walgreens Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Walgreens CO | 0363-1253 |
| Leader Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | LEADER/ Cardinal Health 110, Inc. | 70000-0633 |
| Meijer Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | Meijer, Inc. | 79481-2550 |
| Meijer Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Meijer, Inc. | 79481-2530 |
| Vanalicepiperonyl butoxide, pyrethrum | Piperonyl butoxide 35 mg/mL; Pyrethrum extract 3 mg/mL | GelTopical | GM Pharmaceuticals, INC | 58809-650 |
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