Over-the-counter drug · OTC MONOGRAPH DRUG

Walgreens (Hemorrhoidal cooling gel) NDC 0363-6502

Phenylephrine hydrochloride 2.5 mg/g; Witch hazel 500 mg/g · Gel · Topical · Walgreens

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-6502Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-6502Add 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
0363-6502-01003636502011 TUBE in 1 CARTON (0363-6502-01) / 25.5 g in 1 TUBEMarketed from Jan 1, 2004

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)
Walgreens
Generic name (nonproprietary)
hemorrhoidal cooling gel
Active ingredients
Phenylephrine hydrochloride — 2.5 mg/gWitch hazel — 500 mg/g
Dosage form
Gel
Route
Topical
Labeler
WalgreensNDC labeler code 0363
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Other FDA classes
Adrenergic alpha1-Agonists (Mechanism)
Identifiers
Product ID 0363-6502_4860f419-2f61-46dc-e063-6294a90a0d5aSPL ID 4860f419-2f61-46dc-e063-6294a90a0d5aSPL set ID 1277d2e8-2a5e-23f5-e063-6294a90a69b0RxCUI 249465UNII 04JA59TNSJ, 101I4J0U34
Pharmacologic class
alpha-1 Adrenergic Agonist

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

N400363650201 followed by a unit qualifier and the quantity

Package 00363-6502-01. 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 .

Indications (excerpt from the label)

Uses helps relieve the local itching and discomfort associated with hemorrhoids temporary relief of irritation and burning temporarily shrinks hemorrhoidal tissue aids in protecting irritated anorectal areas

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-6502

What is NDC 0363-6502?
0363-6502 is the product NDC for Walgreens (hemorrhoidal cooling gel), Phenylephrine hydrochloride 2.5 mg/g; Witch hazel 500 mg/g gel, listed with the FDA by Walgreens. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Walgreens (Hemorrhoidal Cooling Gel).
What is the active ingredient?
Phenylephrine hydrochloride, Witch hazel.
Who is the labeler?
Walgreens, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Walgreens?
14 other product NDCs are listed under this name. See all Walgreens NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Walgreens NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Walgreenssodium chlorideSodium chloride 50 mg/mLSolution/ dropsOphthalmicWalgreen Company0363-065800363-0658-05
WalgreenslidocaineLidocaine 4 mg/100mgPatchTopicalWALGREENS0363-100200363-1002-40
Walgreensdiphenhydramine hydrochloride, ibuprofen, hydrocortisone, bacitracin zinc, neomycin sulfate, polymyxin-b sulfate, lidocaine hcl, benzalkonium chloride, isopropyl alcohol, ethyl alcohol—KitOralWalgreen Co.0363-150000363-1500-01
Walgreenspolyethylene glycol 3350Polyethylene glycol 3350 17 g/17gPowder, For solutionOralWALGREEN COMPANY0363-526000363-5260-0700363-5260-14
Walgreensethyl alcoholAlcohol 700 mg/mLGelTopicalWalgreens0363-085900363-0859-0200363-0859-08
Walgreensethyl alcoholAlcohol 700 mg/mLGelTopicalWalgreens0363-123300363-1233-0200363-1233-0800363-1233-28
Walgreenssalicylic acidSalicylic acid 30 mg/mLLotion/shampooTopicalWalgreens0363-953700363-9537-11
Walgreensethyl alcoholAlcohol 700 mg/mLGelTopicalWalgreens0363-572100363-5721-02
Walgreenssalicylic acidSalicylic acid 30 mg/mLLotion/shampooTopicalWalgreens0363-953600363-9536-07
Walgreensethyl alcoholAlcohol 700 mg/mLGelTopicalWalgreen0363-572100363-5721-03

All 15 Walgreens NDCs

Other NDCs under M 015

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

FDA NDC Directory listings under M 015
ProductStrengthForm · routeLabelerProduct NDC
NUMB PLUS Maximum Strength AnorectallidocaineLidocaine 50 mg/mLGelTopicalSEENEXT VENTURE LTD70907-098
tina davies IceJelly Hemorrhoidallidocaine, phenylephrine hydrochlorideLidocaine 5 g/100mL; Phenylephrine hydrochloride .25 g/100mLCreamTopicalTINA DAVIES PROFESSIONAL LLC84313-101
Hemorrohoid Master Creamlidocaine, phenylephrine hclLidocaine 50 mg/g; Phenylephrine hydrochloride 2.5 mg/gCreamTopicalEbanel Laboratories, Inc.72654-038
Leader Maximum Strength Hemorrhoidal RelieflidocaineLidocaine 50 mg/gCreamTopicalCardinal Health,Inc.70000-0650
Tina Davies IceCreamlidocaine hydrochloride, phenylephrine hydrochlorideLidocaine hydrochloride 5 g/100mL; Phenylephrine hydrochloride .25 g/100mLCreamTopicalTINA DAVIES PROFESSIONAL LLC84313-001
Numb25lidocaineLidocaine 50 mg/gCreamTopicalEbanel Laboratories, Inc.72654-036
tina davies IceCream Hemorrhoidallidocaine, phenylephrine hydrochlorideLidocaine 5 g/100mL; Phenylephrine hydrochloride .25 g/100mLCreamTopicalTINA DAVIES PROFESSIONAL LLC84313-002
Numb520Spraylidocaine, phenylephrine hclLidocaine 50 mg/mL; Phenylephrine hydrochloride 2.5 mg/mLLiquidTopicalEbanel Laboratories, Inc.72654-037
Equate Hemorrhoid RelieflidocaineLidocaine 50 mg/gCreamTopicalWalmart Inc.79903-428
SCALAR Pain Relief CreammentholMenthol 50 mg/mLCreamTopicalMiracle Balance, LLC80883-097
Hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalKroger Company30142-188
Family Wellnessglycerin, phenylephrine hydrochloride, pramoxine hydrochloride, petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalZhejiang Jingwei Pharmaceutical Co., Ltd.55621-012
Equaline Hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalUnited Natural Foods, Inc. dba UNFI41163-188
Hemorrhoidalmineral oil, petrolatum, phenylephrine hydrochlorideMineral oil 14 g/100g + 2 more ingredientsOintmentRectalSafeway21130-687
Flarestop Hemorrhoid LidocainelidocaineLidocaine 50 mg/gCreamTopicalChelsea Pharmacceuticals LLC87989-013
hemorrhoidal maximum strength pain reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalKroger Company30142-944
Witch HazelWitch hazel 860 mg/mLLiquidTopicalADUSA Distribution, LLC41520-822
lidocaineLidocaine 50 mg/gCreamTopicalNivagen Pharmaceuticals, Inc.75834-333
Medlinementhol, white petrolatum, zinc oxideZinc oxide 206 mg/g + 2 more ingredientsPasteTopicalMedline Industries, LP53329-156
Family Wellness HEMORRHOIDglycerin, petrolatum, phenylephrine hcl, pramoxine hclGlycerin 144 mg/g + 3 more ingredientsCreamTopicalFAMILY DOLLAR (Family Wellness)55319-981

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