NDC codes

FDA NDC Directory
Product NDC (as listed)55758-253Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0253Add 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
55758-253-0255758025302557580253021 BOTTLE in 1 CARTON (55758-253-02) / 59 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)
El Piojito Lice Killing
Generic name (nonproprietary)
piperonyl butoxide, pyrethrum extract
Active ingredients
Piperonyl butoxide — 4 g/100mLPyrethrum extract — .33 g/100mL
Dosage form
Shampoo
Route
Topical
Labeler
PharmadelNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 031
Marketing start
Listing expires
Identifiers
Product ID 55758-253_291b2bb6-4f53-7852-e063-6394a90a45b8SPL ID 291b2bb6-4f53-7852-e063-6394a90a45b8SPL set ID 487f72e0-e2c6-32ea-e054-00144ff8d46cRxCUI 283219UNII LWK91TU9AH, ZUM06L90GV

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

N455758025302 followed by a unit qualifier and the quantity

Package 55758-0253-02. 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 55758-253

What is NDC 55758-253?
55758-253 is the product NDC for El Piojito Lice Killing, Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL shampoo, listed with the FDA by Pharmadel. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
El Piojito Lice Killing (Piperonyl butoxide, Pyrethrum extract).
What is the active ingredient?
Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?
Pharmadel, NDC labeler code 55758. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for El Piojito Lice Killing?
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
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
Major Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMajor Pharmaceuticals0904-7349
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalThe Kroger Co30142-252
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract—KitTopicalRite Aid11822-6611
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
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-310
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPHARMACY VALUE ALLIANCE LLC68016-253
Mata Piojos Licepiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalGRANDALL DISTRIBUTING, LLC48201-006
ABC Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-312
Topcare Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalTopco Associates, LLC76162-253
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalTopco Associates, LLC76162-255
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalPHARMACY VALUE ALLIANCE LLC68016-552
Walgreens Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWalgreens CO0363-1253
Leader Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalLEADER/ Cardinal Health 110, Inc.70000-0633
Walgreens Lice Eliminationpiperonyl butoxide, pyrethrum extract—KitTopicalWalgreens0363-3255
Meijer Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalMeijer, Inc.79481-2550
Meijer Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalMeijer, Inc.79481-2530
Vanalicepiperonyl butoxide, pyrethrumPiperonyl butoxide 35 mg/mL; Pyrethrum extract 3 mg/mLGelTopicalGM Pharmaceuticals, INC58809-650

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