NDC codes

FDA NDC Directory
Product NDC (as listed)11822-0005Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-0005Add 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
11822-0005-1118220005011182200050112 BLISTER PACK in 1 CARTON (11822-0005-1) / 1 SUPPOSITORY in 1 BLISTER PACKMarketed from Jan 9, 2015
11822-0005-2118220005021182200050224 BLISTER PACK in 1 CARTON (11822-0005-2) / 1 SUPPOSITORY in 1 BLISTER PACKMarketed from Jan 9, 2015

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
hemorrhoidal relief
Generic name (nonproprietary)
cocoa butter, phenylephrine hcl
Active ingredients
Cocoa butter — 2211 mg/1Phenylephrine hydrochloride — 6.5 mg/1
Dosage form
Suppository
Route
Rectal
Labeler
Rite Aid CorporationNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)
Identifiers
Product ID 11822-0005_18859db7-058e-4317-bc83-e32abf20c2b5SPL ID 18859db7-058e-4317-bc83-e32abf20c2b5SPL set ID ddafbdca-32c2-49c1-83d3-35b4155958c9RxCUI 1438497UNII 512OYT1CRR, 04JA59TNSJ
Pharmacologic class
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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N411822000501 followed by a unit qualifier and the quantity

Package 11822-0005-01. 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 • helps relieve the local itching and discomfort associated with hemorrhoids • temporarily relieves burning and shrinks hemorrhoidal tissue • temporarily provides a coating for relief of anorectal discomforts • temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-0005

What is NDC 11822-0005?
11822-0005 is the product NDC for hemorrhoidal relief, Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1 suppository, listed with the FDA by Rite Aid Corporation. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
hemorrhoidal relief (Cocoa butter, phenylephrine HCl).
What is the active ingredient?
Cocoa butter, Phenylephrine hydrochloride.
Who is the labeler?
Rite Aid Corporation, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for hemorrhoidal relief?
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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