NDC codes

FDA NDC Directory
Product NDC (as listed)63941-253Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63941-0253Add 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
63941-253-0463941025304639410253041 BOTTLE in 1 CARTON (63941-253-04) / 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)
Best Choice 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
Valu Merchandisers, CO.NDC labeler code 63941
Product type
Over-the-counter drug
Marketing category
OTC monograph (final)Application part358G
Marketing start
Listing expires
Identifiers
Product ID 63941-253_488061ad-1a60-57d3-e054-00144ff88e88SPL ID 488061ad-1a60-57d3-e054-00144ff88e88SPL set ID 488061ad-1a5f-57d3-e054-00144ff88e88RxCUI 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

N463941025304 followed by a unit qualifier and the quantity

Package 63941-0253-04. 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 63941-253

What is NDC 63941-253?
63941-253 is the product NDC for Best Choice Lice Killing, Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL shampoo, listed with the FDA by Valu Merchandisers, CO.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Best Choice Lice Killing (Piperonyl butoxide, Pyrethrum extract).
What is the active ingredient?
Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?
Valu Merchandisers, CO., NDC labeler code 63941. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Best Choice 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 part358G

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

FDA NDC Directory listings under part358G
ProductStrengthForm · routeLabelerProduct NDC
Herklinpiperonyl butoxide and pyrethrum extractPiperonyl butoxide 40 mg/mL; Pyrethrum extract .033 mg/mLShampooTopicalMarcusUSA75940-171
Herklin Lice Treatmentpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalMarcasUSA LLC75940-192
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-253

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