NDC codes

FDA NDC Directory
Product NDC (as listed)21130-928Labeler and product segments. Claims need a package NDC.
Product NDC at billing width21130-0928Add 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
21130-928-0021130092800100 CLOTH in 1 JAR (21130-928-00)Marketed from Oct 3, 2016

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)
Signature Care Medicated Cooling
Generic name (nonproprietary)
witch hazel
Active ingredients
Witch hazel — 500 mg/1
Dosage form
Cloth
Route
Topical
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Identifiers
Product ID 21130-928_41c453e3-2df4-0425-e063-6294a90ae663SPL ID 41c453e3-2df4-0425-e063-6294a90ae663SPL set ID b35dc719-a5a2-4839-870d-25313d3f7c9bRxCUI 844379UNII 101I4J0U34UPC 0321130779285

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

N421130092800 followed by a unit qualifier and the quantity

Package 21130-0928-00. 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)

Directions Adults: when practical clean the affected area with mild soap and warm water, and rinse thoroughly gently dry by patting or blotting with toilet tissue or a soft cloth before applying apply externally to the affected area up to 6 times daily or after each bowel movement after application, discard pad Children under 12 years of age: ask a doctor

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Chamosynbarrier creamMenthol 1 mg/g; Zinc oxide 200 mg/gOintmentTopicalLinks Medical Products51028-002
Hemorrhoid Relief Creamlidocaine 5% anorectalLidocaine 50 mg/gCreamTopicalALAINA HEALTHCARE PRIVATE LIMITED73492-712
Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2.39 g/1; Phenylephrine hydrochloride 6.75 mg/1SuppositoryRectalAmerisourcebergen Drug Corporation46122-777
Family wellnessmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentTopicalFRONT PHARMACEUTICAL PLC69571-006
Kroger Medicated Wipes Hemorrhoidal Wipe With Witch Hazel And Aloewitch hazel clothWitch hazel .5 g/gSwabTopicalThe Kroger Co.30142-791
TN Dickinsons Witch Hazel Hemorrhoidal Padswitch hazelWitch hazel 1.2 g/1ClothTopicalDickinson Brands Inc.52651-003
T.N. Dickinsons Witch Hazel Medicated Cooling Pads Hemorrhoidal Reliefwitch hazelWitch hazel .034 g/1ClothTopicalDickinson Brands Inc.52651-010
Norms Hemorrhoidphenylephrine hydrochloride, witch hazelWitch hazel 50 g/100g; Phenylephrine hydrochloride .25 g/100gSprayTopicalTotally Normal Company85996-135
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalH E B37808-279
Dermatool Hemorrhoidalglycerin, lidocaine, petrolatum, phenylephrine hclLidocaine 5 g/100g + 3 more ingredientsCreamTopicalPapalo Group LLC84728-413
Norms Medicated Wipeswitch hazelWitch hazel .5 g/gClothTopicalTotally Normal Company85996-001
Walgreens Hemorrhoidal Pain Reliefglycerin 14.4%, lidocaine 5%, petrolatum 15%, phenylephrine hcl 0.25%Lidocaine 5 g/100g + 3 more ingredientsCreamTopicalWalgreens0363-1217
Norms Hemorrhoid Wipeswitch hazelWitch hazel .5 g/gClothTopicalTotally Normal Company85996-002
Norms Hemorrhoidglycerin, lidocaine, petrolatum, phenylephrine hclLidocaine 5 g/100g + 3 more ingredientsCreamTopicalTotally Normal Company85996-173
ReVIVOL-XRphenylephrine hydrochloridePhenylephrine hydrochloride 6.25 mg/1SuppositoryRectalUnipack LLC43749-432
Preparation Hcocoa butter, phenylephrine hydrochlorideCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.25 mg/1SuppositoryRectalHaleon US Holdings LLC0573-2883
FAMILY Wellness MEDICATED HEMORRHOIDAL WIPESwitch hazelWitch hazel 50 g/100mLClothTopicalFamily Dollar Stores, Inc55319-774
Walgreens Hemorrhoidalhemorrhoidal rectal suppositoriesCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.25 mg/1SuppositoryRectalWalgreens0363-0476
Recticarelidocaine and glycerinLidocaine 50 mg/g; Glycerin 200 mg/gClothTopicalFerndale Laboratories, Inc.0496-0980
Kroger Hemorrhoidglycerin, lidocaine, petrolatum, phenylephrine hclLidocaine 5 g/100g + 3 more ingredientsCreamTopicalKroger Company30142-713

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