Miconazole 1 Walgreens (miconazole nitrate) NDC 0363-5201

NDC codes

FDA NDC Directory

Product NDC (as listed)0363-5201Labeler and product segments. Claims need a package NDC.

Product NDC at billing width00363-5201Add 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
0363-5201-01	00363520101	1 KIT in 1 PACKAGE, COMBINATION (0363-5201-01) * 1 SUPPOSITORY in 1 POUCH (0363-5204-01) * 9 g in 1 TUBE (0363-5205-01)Marketed from Nov 30, 2021

How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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): Miconazole 1 WalgreensSuffix: Walgreens
Generic name (nonproprietary): miconazole nitrate
Dosage form: Kit
Labeler: WALGREEN COMPANY
Product type: Over-the-counter drug
Marketing category: NDA — New Drug ApplicationApplication NDA 021308
Marketing start: Nov 30, 2021
Listing expires: Dec 31, 2027
Identifiers: Product ID 0363-5201_2a57ccf7-f616-40e9-a19d-2a0c547c1084SPL ID 2a57ccf7-f616-40e9-a19d-2a0c547c1084SPL set ID 1fe7b02a-f60b-4572-b4e8-35bda290b176RxCUI 992774, 992775, 998540

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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N400363520101 followed by a unit qualifier and the quantity

Package 00363-5201-01. 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 Jan 23, 2026.

Indications (excerpt from the label)

Uses treats vaginal yeast infections relieves external itching and irritation due to a vaginal yeast infection

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 021308

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

FDA NDC Directory listings under NDA 021308
Product	Strength	Form · route	Labeler	Product NDC
Cvs Miconazole 1 Combination Packmiconazole nitrate	—	Kit	CVS PHARMACY, INC	51316-093
Monistat 1 Combination Packmiconazole nitrate	—	Kit	Insight Pharmaceuticals LLC	63736-013
Miconazole 1 Walgreensmiconazole nitrate	—	Kit	WALGREEN COMPANY	0363-5211