Over-the-counter drug · ANDA

hair regrowth treatment (Minoxidil) NDC 21130-611

Minoxidil 5 g/100mL · Solution · Topical · Safeway

NDC codes

FDA NDC Directory
Product NDC (as listed)21130-611Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0611Add 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
21130-611-1621130061116211300611161 BOTTLE in 1 CARTON (21130-611-16) / 60 mL in 1 BOTTLEMarketed from Aug 13, 2024
21130-611-3021130061130211300611303 BOTTLE in 1 CARTON (21130-611-30) / 60 mL in 1 BOTTLEMarketed from Aug 20, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
hair regrowth treatment
Generic name (nonproprietary)
minoxidil
Active ingredients
Minoxidil — 5 g/100mL
Dosage form
Solution
Route
Topical
Labeler
SafewayNDC labeler code 21130
Product type
Over-the-counter drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 075598
Marketing start
Listing expires
Other FDA classes
Arteriolar Vasodilation (Physiologic effect)
Identifiers
Product ID 21130-611_4eaefc19-eda6-46e4-a56e-93a1787e4bd2SPL ID 4eaefc19-eda6-46e4-a56e-93a1787e4bd2SPL set ID cc99123b-b1a3-4818-9a06-e64478871c16RxCUI 311724UNII 5965120SH1
Pharmacologic class
Arteriolar Vasodilator

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

N421130061116 followed by a unit qualifier and the quantity

Package 21130-0611-16. 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)

Use to regrow hair on the top of the scalp (vertex only, see pictures on side of carton)

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 21130-611

What is NDC 21130-611?
21130-611 is the product NDC for hair regrowth treatment (minoxidil), Minoxidil 5 g/100mL solution, listed with the FDA by Safeway. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
hair regrowth treatment (Minoxidil).
What is the active ingredient?
Minoxidil.
Who is the labeler?
Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for hair regrowth treatment?
14 other product NDCs are listed under this name. See all hair regrowth treatment NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other hair regrowth treatment NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalAmazon.com Services LLC72288-66772288-0667-40
Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100gAerosol, FoamTopicalAmazon.com Services LLC72288-67472288-0674-03
Hair regrowth treatmentminoxidilMinoxidil 5 g/100mLLiquidTopicalGuangzhou Jianyuan Biological Technology.Co.,Ltd81653-00581653-0005-0181653-0005-02
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalRite Aid Corporation11822-126011822-1260-00
hair regrowth treatmentminoxidilMinoxidil 2 g/100mLSolutionTopicalWalgreen Company0363-070300363-0703-1600363-0703-30
hair regrowth treatmentminoxidilMinoxidil 2 g/100mLSolutionTopicalMeijer, Inc.79481-007079481-0070-01
hair regrowth treatmentminoxidilMinoxidil 2 g/100mLSolutionTopicalCVS Pharmacy69842-79769842-0797-1669842-0797-30
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalMeijer, Inc.41250-42841250-0428-30
Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalCVS Pharmacy69842-59869842-0598-1669842-0598-30
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalKroger Company30142-63230142-0632-30

All 15 hair regrowth treatment NDCs

Other NDCs under ANDA 075598

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

FDA NDC Directory listings under ANDA 075598
ProductStrengthForm · routeLabelerProduct NDC
basic care hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalAmazon.com Services LLC72288-798
equate hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalWal-Mart Stores Inc49035-746
equate hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalWALMART INC.79903-222
Good Sense Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalL. Perrigo Company0113-1032
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalWalgreen Company0363-0032
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalRite Aid Corporation11822-1260
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalKroger Company30142-632
hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalMeijer, Inc.41250-428
Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalCVS Pharmacy69842-598
Hair Regrowth TreatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalAmazon.com Services LLC72288-667
hims hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalHims Inc71730-000
kirkland signature minoxidilminoxidilMinoxidil 5 g/100mLSolutionTopicalCostco Wholesale Company63981-032
kirkland signature minoxidilminoxidilMinoxidil 3 g/60mLSolutionTopicalCostco Wholesale Company63981-798
Leader MinoxidilminoxidilMinoxidil 5 g/100mLSolutionTopicalCardinal Health 110, LLC. dba Leader70000-0653
Loesch Hair Regrowth Formula Unscented Topical Solution Extra-Strength for MenminoxidilMinoxidil 3 g/60mLSolutionTopicalLoesch Laboratory Consultant, INC.25280-006
members mark hair regrowth treatmentminoxidilMinoxidil 5 g/100mLSolutionTopicalSam's West Inc68196-032
minoxidilMinoxidil 5 g/100mLSolutionTopicalH E B37808-833
minoxidilMinoxidil 5 g/100mLSolutionTopicalPublix Super Markets Inc56062-322
minoxidilMinoxidil 5 g/100mLSolutionTopicalTHIRTY MADISON INC71713-094
Minoxidil Extra Strength (For Men)minoxidilMinoxidil 5 g/100mLLiquidTopicalFlexiGo Inc85524-2614

Showing 20 of 22.

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