NDC codes

FDA NDC Directory
Product NDC (as listed)53943-255Labeler and product segments. Claims need a package NDC.
Product NDC at billing width53943-0255Add 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
53943-255-0153943025501539430255011 KIT in 1 CARTON (53943-255-01) * 59 mL in 1 BOTTLE, SPRAY * 118 mL in 1 BOTTLEMarketed from Jan 3, 2014

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)
Discount Lice Treatment
Generic name (nonproprietary)
piperonyl butoxide, pyrethrum extract
Dosage form
Kit
Route
Topical
Labeler
Discount drug martNDC labeler code 53943
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 031
Marketing start
Listing expires
Identifiers
Product ID 53943-255_0c56c205-ac34-571d-e063-6294a90aacbdSPL ID 0c56c205-ac34-571d-e063-6294a90aacbdSPL set ID 88ede7e6-82d6-db8a-e053-2a95a90a00beRxCUI 283219

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

N453943025501 followed by a unit qualifier and the quantity

Package 53943-0255-01. 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 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)

About NDC 53943-255

What is NDC 53943-255?
53943-255 is the product NDC for Discount Lice Treatment kit, listed with the FDA by Discount drug mart. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Discount Lice Treatment (Piperonyl butoxide, Pyrethrum extract).
Who is the labeler?
Discount drug mart, NDC labeler code 53943. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Discount Lice Treatment?
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 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
ProductStrengthForm · routeLabelerProduct NDC
Kakshal PermethrinpermethrinPermethrin 1 g/100mLLotionTopicalKakshal87544-8526
Family Wellness Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalFamily Dollar55319-253
Discount Drug Mart Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalDiscount Drug Mart53943-253
Foster and Thrive Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalStrategic Sourcing Services, LLC70677-1184
Weeks and Leo Complete Lice Treatmentpiperonyl butoxide, pyrethrum extract—KitTopicalWeeks & Leo Co., Inc.11383-255
Quality Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract—KitTopicalChain Drug Marketing Association83324-268
Bldaxn Ivermectin Lotion0.5%bldaxn ivermectin lotion 0.5%Ivermectin .5 g/100mLEmulsionTopicalGUANGZHOU YUSONG FINE CHEMICLS Co., Ltd84558-024
GNP Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalAmerisourceBergen Drug Corporation46122-759
Quality Choice Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalQuality Choice83324-269
GoodSense Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalPerrigo Direct, Inc.50804-253
GoodSense Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalPerrigo Direct, LLC50804-255
Major Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMajor Pharmaceuticals0904-7349
Nicovito Ivermectin Lotion.ivermectin lotion.Ivermectin .5 g/100mLLotionTopicalAnhui Cao coral biology science and technology co., ltd83091-004
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-310
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalThe Kroger Co30142-252
Kroger Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalThe Kroger Co30142-253
Rite Aid Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalRite Aid Corp11822-6616
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract—KitTopicalRite Aid11822-6611

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