NDC codes

FDA NDC Directory
Product NDC (as listed)42507-279Labeler and product segments. Claims need a package NDC.
Product NDC at billing width42507-0279Add 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
42507-279-53425070279534250702795312 BLISTER PACK in 1 CARTON (42507-279-53) / 1 SUPPOSITORY in 1 BLISTER PACKMarketed from Mar 28, 2015

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)
hemorrhoidal
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
HyVee IncNDC labeler code 42507
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 42507-279_d0bcb196-b9a5-47ed-9f48-70ffa8025370SPL ID d0bcb196-b9a5-47ed-9f48-70ffa8025370SPL set ID bf1beca0-cc9b-4100-9db7-77f2d1e5497cRxCUI 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

N442507027953 followed by a unit qualifier and the quantity

Package 42507-0279-53. 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 42507-279

What is NDC 42507-279?
42507-279 is the product NDC for hemorrhoidal, Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1 suppository, listed with the FDA by HyVee Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
hemorrhoidal (Cocoa butter, phenylephrine HCl).
What is the active ingredient?
Cocoa butter, Phenylephrine hydrochloride.
Who is the labeler?
HyVee Inc, NDC labeler code 42507. 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?
33 other product NDCs are listed under this name. See all hemorrhoidal 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 hemorrhoidal NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalAmazon.com Services LLC72288-76772288-0767-16
Hemorrhoidallidocaine, mineral oil, phenylephrine hcl, white petrolatumWhite petrolatum 39 g/100g + 3 more ingredientsCreamTopicalWalgreens Co0363-522300363-5223-01
Hemorrhoidalmineral oil, petrolatum, phenylephrine hydrochlorideMineral oil 14 g/100g + 2 more ingredientsOintmentRectalSafeway21130-68721130-0687-16
hemorrhoidalmineral oil, petrolatum, phenylephrine hclPetrolatum 749 mg/g + 2 more ingredientsOintmentTopicalBionpharma Inc.69452-44869452-0448-38
Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2.39 g/1; Phenylephrine hydrochloride 6.75 mg/1SuppositoryRectalAmerisourcebergen Drug Corporation46122-77746122-0777-65
Hemorrhoidalmineral oil, petrolatum, phenylephrine hciPhenylephrine hydrochloride .25 g/100g + 2 more ingredientsOintmentTopicalChain Drug Marketing Association Inc.83324-04583324-0045-02
Hemorrhoidalpain reliefPhenylephrine hydrochloride 2.5 mg/g + 2 more ingredientsOintmentRectalNeilMed Pharmaceuticals Inc.13709-31913709-0319-01
Hemorrhoidalmineral, petrolatum, phenylephrine hydrochlorideMineral oil 140 mg/g + 2 more ingredientsOintmentTopicalCVS PHARMACY, INC51316-22851316-0228-0151316-0228-02
Hemorrhoidalmineral oil, petrolatum, phenylephrine hciPhenylephrine hydrochloride .25 g/100g + 2 more ingredientsOintmentTopicalRugby0536-128800536-1288-06
Hemorrhoidalmineral oil, petrolatum, phenylephrine hciPhenylephrine hydrochloride .25 g/100g + 2 more ingredientsOintmentTopicalCardinal Health 110 dba LEADER70000-004670000-0046-01

All 34 hemorrhoidal NDCs

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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