NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9655Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9655Add 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
0363-9655-1000363965510003639655101 TUBE in 1 CARTON (0363-9655-10) / 87 mL in 1 TUBEMarketed from Feb 28, 2025

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 Advanced Wound Hydrogel
Generic name (nonproprietary)
allantoin, benzethonium chloride
Active ingredients
Benzethonium chloride — 1.2 mg/mLAllantoin — .5 mg/mL
Dosage form
Gel
Route
Topical
Labeler
WALGREEN COMPANYNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 004
Marketing start
Listing expires
Identifiers
Product ID 0363-9655_32459223-14c8-a1d7-e063-6394a90a37baSPL ID 32459223-14c8-a1d7-e063-6394a90a37baSPL set ID 25c6ada8-4a16-0896-e063-6294a90a0fdbUNII PH41D05744, 344S277G0ZUPC 0311917060002

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

N400363965510 followed by a unit qualifier and the quantity

Package 00363-9655-10. 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: Temporarily protects minor cuts, scrapes, and burns Temporarily protects and helps relieve chapped or cracked skin and lips First aid to help decrease the risk of infection in minor cuts, scrapes and burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-9655

What is NDC 0363-9655?
0363-9655 is the product NDC for Walgreens Advanced Wound Hydrogel, Benzethonium chloride 1.2 mg/mL; Allantoin .5 mg/mL gel, listed with the FDA by WALGREEN COMPANY. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens Advanced Wound Hydrogel (Allantoin, Benzethonium Chloride).
What is the active ingredient?
Benzethonium chloride, Allantoin.
Who is the labeler?
WALGREEN COMPANY, 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 Advanced Wound Hydrogel?
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 004

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

FDA NDC Directory listings under M 004
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Thera Plus Original Strength Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 U/g + 2 more ingredientsOintmentTopicalFourstar Group USA, Inc80684-198
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American Safety First Aid Antispeticisopropyl alcoholIsopropyl alcohol 700 mg/1000mLSprayTopicalOrazen Inc71927-014
Crane Safety Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalCrane Safety LLC73408-934
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Triple Antibiotic Plus Pain Reliefbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-036
Biofreeze Professionalmenthol, unspecified formMenthol, Unspecified form 50 mg/mLGelTopicalNuCare Pharmaceuticals,Inc.68071-4325
Ever Ready First Aid Triple Antibioticbacitracin zinc, neomycin sulfate, polymyxin b sulfateBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalEVER READY FIRST AID72976-009
InstantFoam Complete PUREalcoholAlcohol 85.6 mL/100mLLiquidTopicalSC Johnson Professional USA Inc.11084-309
Fresh StartchloroxylenolChloroxylenol 3 mg/mLSoapTopicalPro Chem, Inc.63830-950
berkley and jensen triple antibioticbacitracin zinc, neomycin, polymyxin bBacitracin zinc 400 [USP'U]/g + 2 more ingredientsOintmentTopicalBJWC68391-207
Triple Antibioticbacitracin zinc, neomycin sulfate, and polymyxin b sulfateBacitracin zinc 400 [iU]/g + 2 more ingredientsOintmentTopicalLidl US, LLC71141-134
Hermon bed sore and pressure sore creamcalendula officinalis1x hpus 1.5%Calendula officinalis flower 1.5 [hp_X]/120gCreamTopicalBeautivity LLC85398-023
Exchange Select First Aid Triple Anitbiotic Pain Relievingbacitracin, neomycin, polymyxin b, pramoxine hclBacitracin zinc 500 [USP'U]/g + 3 more ingredientsOintmentTopicalArmy & Air Force Exchange Service55301-123

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