Rite Aid Lice Killing NDC 11822-6616

NDC codes

FDA NDC Directory

Product NDC (as listed)11822-6616Labeler and product segments. Claims need a package NDC.

Product NDC at billing width11822-6616Add 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 NDC	11-digit (billing)	Package	Copy
11822-6616-1	11822661601	1 BOTTLE in 1 CARTON (11822-6616-1) / 236 mL in 1 BOTTLEMarketed from Nov 1, 2023

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): Rite Aid Lice Killing
Generic name (nonproprietary): piperonyl butoxide, pyrethrum extract
Active ingredients: Pyrethrum extract — .33 g/100mLPiperonyl butoxide — 4 g/100mL
Dosage form: Shampoo
Route: Topical
Labeler: Rite Aid Corp
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 031
Marketing start: Nov 1, 2023
Listing expires: Dec 31, 2026
Identifiers: Product ID 11822-6616_0bca89d6-8433-37b3-e063-6294a90a1e42SPL ID 0bca89d6-8433-37b3-e063-6294a90a1e42SPL set ID 0bca8a15-ed57-ab4b-e063-6394a90ae3dbRxCUI 283219UNII ZUM06L90GV, LWK91TU9AH

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

N411822661601 followed by a unit qualifier and the quantity

Package 11822-6616-01. 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 Dec 5, 2023.

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)

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
Product	Strength	Form · route	Labeler	Product NDC
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	PHARMACY VALUE ALLIANCE LLC	68016-253
GNP Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	AmerisourceBergen Drug Corporation	46122-759
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Pharmadel	55758-253
Quality Choice Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Quality Choice	83324-269
Quality Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract	—	KitTopical	Chain Drug Marketing Association	83324-268
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	PHARMACY VALUE ALLIANCE LLC	68016-552
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Topco Associates, LLC	76162-255
Topcare Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Topco Associates, LLC	76162-253
Lice No More Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Weeks & Leo Co., Inc	11383-001
Quita Piojos Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	DLC Laboratories	24286-1253
ZAP Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	DLC laboratories Inc.	24286-0253
RID Lice Killingpiperonyl butoxide and pyrethrum extract	Piperonyl butoxide 40 mg/mL; Pyrethrum extract .033 mg/mL	ShampooTopical	Oystershell Consumer Health Inc	82392-100
RID Lice Treatment Complete Kitpiperonyl butoxide, pyrethrum extract	—	Kit	Oystershell Consumer Health Inc	82392-101
Mata Piojos Licepiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	GRANDALL DISTRIBUTING, LLC	48201-006
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	The Kroger Co	30142-252
Kroger Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	The Kroger Co	30142-253
Meijer Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Meijer, Inc.	79481-2530
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
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Rite Aid	11822-6611

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