NDC codes

FDA NDC Directory
Product NDC (as listed)55758-253Labeler and product segments. Claims need a package NDC.
Product NDC at billing width55758-0253Add 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
55758-253-0255758025302557580253021 BOTTLE in 1 CARTON (55758-253-02) / 59 mL in 1 BOTTLEMarketed from Jan 3, 2014

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)
El Piojito Lice Killing
Generic name (nonproprietary)
piperonyl butoxide, pyrethrum extract
Active ingredients
Piperonyl butoxide — 4 g/100mLPyrethrum extract — .33 g/100mL
Dosage form
Shampoo
Route
Topical
Labeler
PharmadelNDC labeler code 55758
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 031
Marketing start
Listing expires
Identifiers
Product ID 55758-253_291b2bb6-4f53-7852-e063-6394a90a45b8SPL ID 291b2bb6-4f53-7852-e063-6394a90a45b8SPL set ID 487f72e0-e2c6-32ea-e054-00144ff8d46cRxCUI 283219UNII LWK91TU9AH, ZUM06L90GV

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

N455758025302 followed by a unit qualifier and the quantity

Package 55758-0253-02. 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.

Full label on DailyMed (opens in a new tab)

About NDC 55758-253

What is NDC 55758-253?
55758-253 is the product NDC for El Piojito Lice Killing, Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL shampoo, listed with the FDA by Pharmadel. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
El Piojito Lice Killing (Piperonyl butoxide, Pyrethrum extract).
What is the active ingredient?
Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?
Pharmadel, NDC labeler code 55758. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for El Piojito 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.

FDA NDC Directory listings under M 031
ProductStrengthForm · routeLabelerProduct NDC
ABC Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-312
Best Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract—KitTopicalAssociated Wholesale Grocers, Inc.63941-522
Bldaxn Ivermectin Lotion0.5%bldaxn ivermectin lotion 0.5%Ivermectin .5 g/100mLEmulsionTopicalGUANGZHOU YUSONG FINE CHEMICLS Co., Ltd84558-024
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract—KitTopicalCVS69842-255
CVS Health Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalCVS69842-250
Discount Drug Mart Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalDiscount Drug Mart53943-253
Discount Lice Treatmentpiperonyl butoxide, pyrethrum extract—KitTopicalDiscount drug mart53943-255
Family Wellness Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalFamily Dollar55319-253
Foster and Thrive Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalStrategic Sourcing Services, LLC70677-1184
GNP Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalAmerisourceBergen Drug Corporation46122-759
GoodSense Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalPerrigo Direct, LLC50804-255
GoodSense Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalPerrigo Direct, Inc.50804-253
Kakshal PermethrinpermethrinPermethrin 1 g/100mLLotionTopicalKakshal87544-8526
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract—KitTopicalThe Kroger Co30142-252
Kroger Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalThe Kroger Co30142-253
Leader Lice Killingpiperonyl butoxide, pyrethrum extractPyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mLShampooTopicalLEADER/ Cardinal Health 110, Inc.70000-0633
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc.11383-310
Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalPHARMACY VALUE ALLIANCE LLC68016-253
Lice No More Lice Killingpiperonyl butoxide, pyrethrum extractPiperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mLShampooTopicalWeeks & Leo Co., Inc11383-001
Liendrexpyrethrum extract, piperonyl butoxidePiperonyl butoxide 4 g/100mL; Pyrethrum extract .3 g/100mLShampooTopicalMenper Distributors Inc.53145-308

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