Over-the-counter drug · OTC MONOGRAPH DRUG
GoodSense Lice Killing (Piperonyl butoxide, pyrethrum extract) NDC 50804-253
Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL · Shampoo · Topical · Perrigo Direct, Inc.
NDC codes
FDA NDC DirectoryProduct NDC (as listed)50804-253Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50804-0253Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 50804-253-04 | 5080402530450804025304 | 1 BOTTLE in 1 CARTON (50804-253-04) / 118 mL in 1 BOTTLEMarketed from Nov 1, 2023 |
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)
- GoodSense Lice Killing
- Generic name (nonproprietary)
- piperonyl butoxide, pyrethrum extract
- Active ingredients
- Pyrethrum extract — .33 g/100mLPiperonyl butoxide — 4 g/100mL
- Dosage form
- Shampoo
- Route
- Topical
- Labeler
- Perrigo Direct, Inc.NDC labeler code 50804
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 031
- Marketing start
- Listing expires
- Identifiers
- Product ID 50804-253_425252d4-9894-b382-e063-6294a90a9ca0SPL ID 425252d4-9894-b382-e063-6294a90a9ca0SPL set ID 0bf1cdd7-7bdb-1aa0-e063-6294a90a517fRxCUI 283219UNII ZUM06L90GV, LWK91TU9AH
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
N450804025304followed by a unit qualifier and the quantityPackage 50804-0253-04. 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 treats head, pubic (crab), and body lice
Excerpt only. Read the full label for complete information.
About NDC 50804-253
- What is NDC 50804-253?
- 50804-253 is the product NDC for GoodSense Lice Killing, Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL shampoo, listed with the FDA by Perrigo Direct, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- GoodSense Lice Killing (Piperonyl Butoxide, Pyrethrum Extract).
- What is the active ingredient?
- Pyrethrum extract, Piperonyl butoxide.
- Who is the labeler?
- Perrigo Direct, Inc., NDC labeler code 50804. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for GoodSense Lice Killing?
- 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 031
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 |
|---|---|---|---|---|
| ABC Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Weeks & Leo Co., Inc. | 11383-312 |
| Best Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract | — | KitTopical | Associated Wholesale Grocers, Inc. | 63941-522 |
| Bldaxn Ivermectin Lotion0.5%bldaxn ivermectin lotion 0.5% | Ivermectin .5 g/100mL | EmulsionTopical | GUANGZHOU YUSONG FINE CHEMICLS Co., Ltd | 84558-024 |
| CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract | — | KitTopical | CVS | 69842-255 |
| CVS Health Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | CVS | 69842-250 |
| Discount Drug Mart Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Discount Drug Mart | 53943-253 |
| Discount Lice Treatmentpiperonyl butoxide, pyrethrum extract | — | KitTopical | Discount drug mart | 53943-255 |
| El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Pharmadel | 55758-253 |
| Family Wellness Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Family Dollar | 55319-253 |
| Foster and Thrive Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | Strategic Sourcing Services, LLC | 70677-1184 |
| GNP Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | AmerisourceBergen Drug Corporation | 46122-759 |
| GoodSense Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | Perrigo Direct, LLC | 50804-255 |
| Kakshal Permethrinpermethrin | Permethrin 1 g/100mL | LotionTopical | Kakshal | 87544-8526 |
| Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract | — | KitTopical | The Kroger Co | 30142-252 |
| Kroger Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | The Kroger Co | 30142-253 |
| Leader Lice Killingpiperonyl butoxide, pyrethrum extract | Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL | ShampooTopical | LEADER/ Cardinal Health 110, Inc. | 70000-0633 |
| Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Weeks & Leo Co., Inc. | 11383-310 |
| Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | PHARMACY VALUE ALLIANCE LLC | 68016-253 |
| Lice No More Lice Killingpiperonyl butoxide, pyrethrum extract | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL | ShampooTopical | Weeks & Leo Co., Inc | 11383-001 |
| Liendrexpyrethrum extract, piperonyl butoxide | Piperonyl butoxide 4 g/100mL; Pyrethrum extract .3 g/100mL | ShampooTopical | Menper Distributors Inc. | 53145-308 |
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