Over-the-counter drug · OTC MONOGRAPH DRUG

therapeutic tar anti-dandruff Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis NDC 50804-887

coal tar · Coal tar 5 mg/mL · Shampoo · Topical · GOODSENSE

NDC codes

FDA NDC Directory
Product NDC (as listed)50804-887Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50804-0887Add 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
50804-887-0150804088701473 mL in 1 BOTTLE (50804-887-01)Marketed from Jan 18, 2024

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)
therapeutic tar anti-dandruff Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasisSuffix: Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis
Generic name (nonproprietary)
coal tar
Active ingredients
Coal tar — 5 mg/mL
Dosage form
Shampoo
Route
Topical
Labeler
GOODSENSE
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 032
Marketing start
Listing expires
Identifiers
Product ID 50804-887_5b5fe230-a66f-4107-95df-d5a30b311f10SPL ID 5b5fe230-a66f-4107-95df-d5a30b311f10SPL set ID 72ab0e6b-72a5-4e8a-af44-963251b0641fRxCUI 309381UNII R533ESO2EC

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

N450804088701 followed by a unit qualifier and the quantity

Package 50804-0887-01. 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)

Use controls the symptom of: dandruff seborrheic dermatitis psoriasis

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 032

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 032
ProductStrengthForm · routeLabelerProduct NDC
Recuren Plus Face Creamsalicylic acid 0.5%, zinc pyrithione 0.25%Zinc pyrithione 2.5 mg/g; Salicylic acid 5 mg/gCreamTopicalREGENEREN PLUS LTD87014-005
DermaD JOCK ITCH Therapeuticsalicylic acidSalicylic acid 20 mg/gCreamTopicalChen Cohen Industries Inc.70794-201
Dermaharmony Sulfur and Salicylic Acidsalicylic acid, sulfurSulfur 5 g/100mL; Salicylic acid 2 g/100mLLiquidTopicalD3 Development, Inc.71819-006
DermaD ATOPIC DERMATITIS Therapeuticsalicylic acidSalicylic acid 20 mg/gCreamTopicalChen Cohen Industries Inc.70794-101
Zinc Therapypyrithione zincPyrithione zinc 2 g/100mLLiquidTopicalD3 Development, Inc.71819-007
Dry Scalp Carepyrithione zincPyrithione zinc 10 mg/mLShampooTopicalCVS Pharmacy, Inc.59779-296
Head and Shoulders Coconut Kitpyrithione zinc—KitThe Procter & Gamble Manufacturing Company69423-396
Dermaharmony Face and Bodypyrithione zincPyrithione zinc 2 g/100gSoapTopicalD3 Development, Inc.71819-008
Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalRetail Business Services, LLC72476-253
Head and Shoulders Dry Scalp Carepyrithione zincPyrithione zinc 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company37000-092
Head and Shoulders Hair and Scalp Conditioner Green Applepyrithione zincPyrithione zinc .5 g/100mLLotionTopicalThe Procter & Gamble Manufacturing Company69423-172
Head and Shoulders Green Apple 2in1pyrithione zincPyrithione zinc 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company37000-078
2 in 1 Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalOld East Main Co.55910-921
ELF ACNE Fighting Spot Gel with Aloe Clearsalicylic acidSalicylic acid 1 g/100mLGelTopicale.l.f. Cosmetics, Inc76354-616
Head and Shoulders Itchy Scalppyrithione zincPyrithione zinc 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company37000-079
CVS Health MAXIMUM STRENGTH Dandruff Medicated Anti-Seborrheic Dermatitis, anti-dandruffselenium sulfideSelenium sulfide 10 mg/mLShampooTopicalCVS Health51316-719
Head and Shoulders Conditioner Smooth and Silkypyrithione zincPyrithione zinc .5 g/100mLLotionTopicalThe Procter & Gamble Manufacturing Company69423-103
ELF Clear Blemish Control Face Primersalicylic acidSalicylic acid 2 g/100mLCreamTopicale.l.f. Cosmetics, Inc76354-624
Head and Shoulders Itchy Scalp 2in1pyrithione zincPyrithione zinc 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company37000-081
Dry Scalp Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalH E B37808-281

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