What is NDC 58809-650?

58809-650 is the product NDC for Vanalice, Piperonyl butoxide 35 mg/mL; Pyrethrum extract 3 mg/mL gel, listed with the FDA by GM Pharmaceuticals, INC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Vanalice (Piperonyl butoxide, Pyrethrum).

What is the active ingredient?

Piperonyl butoxide, Pyrethrum extract.

GM Pharmaceuticals, INC, NDC labeler code 58809. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Vanalice?

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.

Vanalice NDC 58809-650 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)58809-650Labeler and product segments. Claims need a package NDC.

Product NDC at billing width58809-0650Add 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
58809-650-08	5880906500858809065008	237 mL in 1 BOTTLE (58809-650-08)Marketed from Aug 5, 2018

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): Vanalice
Generic name (nonproprietary): piperonyl butoxide, pyrethrum
Active ingredients: Piperonyl butoxide — 35 mg/mLPyrethrum extract — 3 mg/mL
Dosage form: Gel
Route: Topical
Labeler: GM Pharmaceuticals, INCNDC labeler code 58809
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 031
Marketing start: Aug 5, 2018
Listing expires: Dec 31, 2026
Identifiers: Product ID 58809-650_4510adbf-3258-b683-e063-6394a90a53d2SPL ID 4510adbf-3258-b683-e063-6394a90a53d2SPL set ID c0205fa6-c8f4-4a28-9341-56a120843706RxCUI 2058503, 2058508UNII 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

N458809065008 followed by a unit qualifier and the quantity

Package 58809-0650-08. 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 3, 2025.

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 58809-650

What is NDC 58809-650?: 58809-650 is the product NDC for Vanalice, Piperonyl butoxide 35 mg/mL; Pyrethrum extract 3 mg/mL gel, listed with the FDA by GM Pharmaceuticals, INC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Vanalice (Piperonyl butoxide, Pyrethrum).
What is the active ingredient?: Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?: GM Pharmaceuticals, INC, NDC labeler code 58809. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Vanalice?: 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
Product	Strength	Form · route	Labeler	Product NDC
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract	—	KitTopical	CVS	69842-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract	—	KitTopical	CVS	69842-255
Major Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Major Pharmaceuticals	0904-7349
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	The Kroger Co	30142-252
Rite Aid Complete Lice Elimination Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Rite Aid	11822-6611
Kroger Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	The Kroger Co	30142-253
Rite Aid Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Rite Aid Corp	11822-6616
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-310
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	PHARMACY VALUE ALLIANCE LLC	68016-253
Mata Piojos Licepiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	GRANDALL DISTRIBUTING, LLC	48201-006
ABC Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-312
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Pharmadel	55758-253
Topcare Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Topco Associates, LLC	76162-253
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Topco Associates, LLC	76162-255
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	PHARMACY VALUE ALLIANCE LLC	68016-552
Walgreens Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Walgreens CO	0363-1253
Leader Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	LEADER/ Cardinal Health 110, Inc.	70000-0633
Walgreens Lice Eliminationpiperonyl butoxide, pyrethrum extract	—	KitTopical	Walgreens	0363-3255
Meijer Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Meijer, Inc.	79481-2550
Meijer Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Meijer, Inc.	79481-2530

Showing 20 of 39.

Vanalice (Piperonyl butoxide, pyrethrum) NDC 58809-650