NDC codes

FDA NDC Directory
Product NDC (as listed)43749-432Labeler and product segments. Claims need a package NDC.
Product NDC at billing width43749-0432Add 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
43749-432-01437490432014374904320124 BLISTER PACK in 1 CARTON (43749-432-01) / 1 SUPPOSITORY in 1 BLISTER PACKMarketed from Apr 1, 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)
ReVIVOL-XR
Generic name (nonproprietary)
phenylephrine hydrochloride
Active ingredients
Phenylephrine hydrochloride — 6.25 mg/1
Dosage form
Suppository
Route
Rectal
Labeler
Unipack LLCNDC labeler code 43749
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 43749-432_39db2684-3085-e26e-e063-6394a90ae422SPL ID 39db2684-3085-e26e-e063-6394a90ae422SPL set ID 2950fe83-a2a4-4ed4-b645-69d6fd2381aeUNII 04JA59TNSJUPC 0850012509271
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

N443749043201 followed by a unit qualifier and the quantity

Package 43749-0432-01. 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 temporarily relieves burning and shrinks hemorrhoidal tissue 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.

Full label on DailyMed (opens in a new tab)

About NDC 43749-432

What is NDC 43749-432?
43749-432 is the product NDC for ReVIVOL-XR (phenylephrine hydrochloride), Phenylephrine hydrochloride 6.25 mg/1 suppository, listed with the FDA by Unipack LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
ReVIVOL-XR (Phenylephrine hydrochloride).
What is the active ingredient?
Phenylephrine hydrochloride.
Who is the labeler?
Unipack LLC, NDC labeler code 43749. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for ReVIVOL-XR?
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 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
Hempvana Maximum Strength Pain Relief Topical Anesthetic Platinumlidocaine 5%Lidocaine 5 g/100gCreamTopicalTelebrands Corp73287-040
Nupharmisto NumbMD LIDOCAINE cream anorectal (hemorrhoidal)lidocaine cream anorectalLidocaine 4 g/80gCreamTopicalEveryMarket Inc85833-002
Lidonumblidocaine 5%Lidocaine .05 g/gCreamTopicalRising Pharma Holdings, Inc.57237-353
Exchange Select Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalArmy & Air Force Exchange Service55301-279
Preparation H Medicated Wipeswitch hazelWitch hazel 5 g/1ClothTopicalHaleon US Holdings LLC0573-0557
Lidocaine anorectal creamlidocaine 5%Lidocaine 5 g/100gCreamTopicalEveryMarket Inc85833-001
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalKroger Company30142-279
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalMeijer Distribution Inc41250-279
hemorrhoidal maximum strength pain reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalKroger Company30142-944
Oxifylidocaine 5%Lidocaine 50 mg/gCreamTopicalWeeks & Leo Compnay, INC.11383-331
hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalPublix Super Markets Inc56062-944
Black Label B Numblidocaine hydrochlorideLidocaine hydrochloride 5 g/100mLSprayTopicalSCALP TECH INC82617-103
hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalAmazon.com Services LLC72288-767
The Solutionlidocaine hydrochloride, epinephrine hydrochlorideLidocaine hydrochloride 5 g/100mL; Epinephrine hydrochloride .01 g/100mLSprayTopicalSCALP TECH INC82617-101
Good Sense Hemorrhoidal Maximum Strength Pain Reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalL. Perrigo Company0113-0944
The Solution 2.0lidocaineLidocaine hydrochloride 5 g/100mLSprayTopicalSCALP TECH INC82617-102
Equaline Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalUnited Natural Foods, Inc. dba UNFI41163-279
Walgreens Moisture Barriermenthol, and zinc oxideMenthol .44 g/100g; Zinc oxide 20.6 g/100gCreamTopicalWalgreen Company0363-3680
The Solu Tionlidocaine hydrochloride and epinephrine hydrochlorideLidocaine hydrochloride 5 g/100mL; Epinephrine hydrochloride .01 g/100mLAerosol, FoamTopicalSCALP TECH INC82617-110
Maximum Strength Hemorrhoidal Cream with Aloeglycerin, phenylephine hci, pramoxine hci, petrolatumWhite petrolatum 15 g/100g + 3 more ingredientsCreamTopicalChain Drug Marketing Association83324-330

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