Over-the-counter drug · OTC MONOGRAPH DRUG
Hemorrhoidal NDC 21130-687
mineral oil, petrolatum, phenylephrine hydrochloride · Mineral oil 14 g/100g + 2 more ingredients · Ointment · Rectal · Safeway
NDC codes
FDA NDC DirectoryProduct NDC (as listed)21130-687Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0687Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 21130-687-16 | 2113006871621130068716 | 1 TUBE in 1 CARTON (21130-687-16) / 57 g in 1 TUBEMarketed from Sep 10, 2025 |
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)
- Hemorrhoidal
- Generic name (nonproprietary)
- mineral oil, petrolatum, phenylephrine hydrochloride
- Active ingredients
- Mineral oil — 14 g/100gPetrolatum — 74.9 g/100gPhenylephrine hydrochloride — .25 g/100g
- Dosage form
- Ointment
- Route
- Rectal
- Labeler
- SafewayNDC labeler code 21130
- 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 21130-687_9b3675c4-c2e5-4d64-ba9e-3316afd16bf5SPL ID 9b3675c4-c2e5-4d64-ba9e-3316afd16bf5SPL set ID 3e6728b6-26e3-4287-8ba6-e27f305cd93bRxCUI 1372298UNII T5L8T28FGP, 4T6H12BN9U, 04JA59TNSJ
- 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 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
N421130068716followed by a unit qualifier and the quantityPackage 21130-0687-16. 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 • temporarily shrinks hemorrhoidal tissue and relieves burning • temporarily provides a coating for relief of anorectal discomforts • temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful
Excerpt only. Read the full label for complete information.
About NDC 21130-687
- What is NDC 21130-687?
- 21130-687 is the product NDC for Hemorrhoidal, Mineral oil 14 g/100g + 2 more ingredients ointment, listed with the FDA by Safeway. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Hemorrhoidal (Mineral oil, petrolatum, phenylephrine hydrochloride).
- What is the active ingredient?
- Mineral oil, Petrolatum, Phenylephrine hydrochloride.
- Who is the labeler?
- Safeway, NDC labeler code 21130. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Hemorrhoidal?
- 30 other product NDCs are listed under this name. See all Hemorrhoidal NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Hemorrhoidal products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Hemorrhoidallidocaine, mineral oil, phenylephrine hcl, white petrolatum | White petrolatum 39 g/100g + 3 more ingredients | CreamTopical | Walgreens Co | 0363-5223 | 00363-5223-01 |
| hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Petrolatum 749 mg/g + 2 more ingredients | OintmentTopical | Bionpharma Inc. | 69452-448 | 69452-0448-38 |
| Hemorrhoidalcocoa butter, phenylephrine hcl | Cocoa butter 2.39 g/1; Phenylephrine hydrochloride 6.75 mg/1 | SuppositoryRectal | Amerisourcebergen Drug Corporation | 46122-777 | 46122-0777-65 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hci | Phenylephrine hydrochloride .25 g/100g + 2 more ingredients | OintmentTopical | Chain Drug Marketing Association Inc. | 83324-045 | 83324-0045-02 |
| Hemorrhoidalpain relief | Phenylephrine hydrochloride 2.5 mg/g + 2 more ingredients | OintmentRectal | NeilMed Pharmaceuticals Inc. | 13709-319 | 13709-0319-01 |
| Hemorrhoidalmineral, petrolatum, phenylephrine hydrochloride | Mineral oil 140 mg/g + 2 more ingredients | OintmentTopical | CVS PHARMACY, INC | 51316-228 | 51316-0228-0151316-0228-02 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hci | Phenylephrine hydrochloride .25 g/100g + 2 more ingredients | OintmentTopical | Rugby | 0536-1288 | 00536-1288-06 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hci | Phenylephrine hydrochloride .25 g/100g + 2 more ingredients | OintmentTopical | Cardinal Health 110 dba LEADER | 70000-0046 | 70000-0046-01 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Mineral oil 14 g/100g + 2 more ingredients | OintmentRectal | Rite Aid Corporation | 11822-0006 | 11822-0006-01 |
| Hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatum | Glycerin 14.4 g/100g + 3 more ingredients | CreamTopical | Rite Aid Corporation | 11822-2944 | 11822-2944-01 |
Other NDCs under M 015
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Dr. Numblidocaine | Lidocaine 5 g/100mL | CreamTopical | Shinpharma Inc | 69903-006 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Mineral oil 14 g/100g + 2 more ingredients | OintmentRectal | Bryant Ranch Prepack | 72162-2282 |
| Numbskin Maximum Strength Pain Relieverlidocaine | Lidocaine 5 g/100mL | CreamTopical | Shinpharma Inc | 69903-008 |
| equate hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatum | Glycerin 14.4 g/100g + 3 more ingredients | CreamTopical | Wal-Mart Stores Inc | 49035-944 |
| Medpride Relieflidocaine 5% | Lidocaine 50 mg/g | CreamTopical | Shield Line LLC | 52410-1090 |
| RectaEase Hemorrhoid Relief Creamlidocaine | Lidocaine 50 mg/g | CreamTopical | Trifecta Pharmaceuticals USA LLC | 69396-070 |
| Drmitsui Medical Haemorrhoidphenylephrine hci witch hazel | Witch hazel 50 g/100g; Phenylephrine hydrochloride .25 g/100g | GelTopical | YIYANGYUAN LIFE SCIENCES (HONG KONG) CO., LIMITED | 87267-011 |
| ProCure Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Petrolatum 74.9 g/100g + 2 more ingredients | OintmentRectal, Topical | Twin Med LLC | 55681-021 |
| Lidocaine Numbing Creamlidocaine | Lidocaine .05 g/g | CreamTopical | Guangzhou Liuquanmiao Import & Export Trade Co., Ltd. | 83602-311 |
| Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Mineral oil 14 g/100g + 2 more ingredients | OintmentRectal | Shield Line LLC | 52410-1820 |
| Rectal Care Cream | Lidocaine 5 g/100g | CreamRectal, Topical | Allegiant Health | 69168-484 |
| HemorrhoidalOintmentmineral oil, petrolatum, phenylephrine hci | Mineral oil 14 g/100g + 2 more ingredients | OintmentTopical | Trifecta Pharmaceuticals USA LLC | 69396-082 |
| HemorrhoidalOintmentmineral oil, petrolatum, phenylephrine hci | Petrolatum 74.9 g/100g + 2 more ingredients | OintmentTopical | Trifecta Pharmaceuticals USA LLC | 69396-083 |
| Signature Care Hemorrhoidal Cream (with applicator)phenylephrine hydrochloride, pramoxine hydrochloride, glycerin, petrolatum | Phenylephrine hydrochloride 2.5 mg/g + 3 more ingredients | CreamTopical | BETTER LIVING BRANDS, LLC | 21130-981 |
| CAREALL Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Mineral oil 140 mg/g + 2 more ingredients | OintmentTopical | New World Imports, Inc | 51824-079 |
| Preparation H For Womenwitch hazel | Witch hazel 2 g/1 | ClothTopical | Haleon US Holdings LLC | 0573-0559 |
| Equaline Hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatum | Glycerin 14.4 g/100g + 3 more ingredients | CreamTopical | United Natural Foods, Inc. dba UNFI | 41163-944 |
| TheraCare Hemorrhoidalmineral oil, petrolatum, phenylephrine hcl | Mineral oil 14 g/100g + 2 more ingredients | OintmentRectal | Veridian Healthcare | 71101-935 |
| Bunnies Bum Soothing Hemorrhoidalglycerin, lidocaine, petrolatum, phenylephrine hcl | Glycerin 14.4 g/100g + 3 more ingredients | CreamTopical | FloCal Distributors LLC | 84308-161 |
| 0.25 % PHENYLEPHRINE HCl HEMORRHOIDALmineral oil, petrolatum, phenylephrine hydrochloride | Mineral oil 14 g/100g + 2 more ingredients | OintmentTopical | Universal Distribution Center LLC | 52000-438 |
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