NDC codes

FDA NDC Directory
Product NDC (as listed)75940-171Labeler and product segments. Claims need a package NDC.
Product NDC at billing width75940-0171Add 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
75940-171-04759400171041 BOTTLE in 1 CARTON (75940-171-04) / 236 mL in 1 BOTTLEMarketed from Oct 29, 2017

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)
Herklin
Generic name (nonproprietary)
piperonyl butoxide and pyrethrum extract
Active ingredients
Piperonyl butoxide — 40 mg/mLPyrethrum extract — .033 mg/mL
Dosage form
Shampoo
Route
Topical
Labeler
MarcusUSANDC labeler code 75940
Product type
Over-the-counter drug
Marketing category
OTC monograph (final)Application part358G
Marketing start
Listing expires
Identifiers
Product ID 75940-171_6c7c7bed-7527-44ce-9616-f155db2e4753SPL ID 6c7c7bed-7527-44ce-9616-f155db2e4753SPL set ID 908f9a80-d1cf-448e-8e35-e4dc856e0e99UNII LWK91TU9AH, ZUM06L90GVUPC 0375940000183

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

N475940017104 followed by a unit qualifier and the quantity

Package 75940-0171-04. 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 75940-171

What is NDC 75940-171?
75940-171 is the product NDC for Herklin, Piperonyl butoxide 40 mg/mL; Pyrethrum extract .033 mg/mL shampoo, listed with the FDA by MarcusUSA. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Herklin (Piperonyl butoxide and Pyrethrum extract).
What is the active ingredient?
Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?
MarcusUSA, NDC labeler code 75940. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Herklin?
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
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
Best Choice Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalValu Merchandisers, CO.63941-253

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