NDC codes

FDA NDC Directory
Product NDC (as listed)50289-3250Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50289-3250Add 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
50289-3250-15028932500140 APPLICATOR in 1 JAR (50289-3250-1) / 2.8 mL in 1 APPLICATORMarketed from Jun 28, 2018

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
AER Pre-moistened Witch Hazel PadSuffix: Pre-moistened Witch Hazel Pad
Generic name (nonproprietary)
witch hazel
Active ingredients
Witch hazel — 500 mg/mL
Dosage form
Solution
Route
Rectal, Topical
Labeler
Birchwood Laboratories LLCNDC labeler code 50289
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Identifiers
Product ID 50289-3250_2baae3c5-a04e-c51e-e063-6394a90a81c3SPL ID 2baae3c5-a04e-c51e-e063-6394a90a81c3SPL set ID 1cca622f-0a6b-4f35-9355-34c249ee705eRxCUI 844379, 1247719UNII 101I4J0U34UPC 0350289325012

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

N450289325001 followed by a unit qualifier and the quantity

Package 50289-3250-01. 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 Temporary relief of anal itching and burning Temporarily protects irritated tissues

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 50289-3250

What is NDC 50289-3250?
50289-3250 is the product NDC for AER Pre-moistened Witch Hazel Pad, Witch hazel 500 mg/mL solution, listed with the FDA by Birchwood Laboratories LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
AER Pre-moistened Witch Hazel Pad (Witch Hazel).
What is the active ingredient?
Witch hazel.
Who is the labeler?
Birchwood Laboratories LLC, NDC labeler code 50289. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for AER Pre-moistened Witch Hazel Pad?
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
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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