NDC codes

FDA NDC Directory
Product NDC (as listed)56104-904Labeler and product segments. Claims need a package NDC.
Product NDC at billing width56104-0904Add 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
56104-904-015610409040156104090401170 g in 1 CAN (56104-904-01)Marketed from Jun 23, 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)
Witch Hazel
Generic name (nonproprietary)
witch hazel
Active ingredients
Witch hazel — 860 mg/g
Dosage form
Spray
Route
Topical
Labeler
Premier Brands of America Inc.NDC labeler code 56104
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 016
Marketing start
Listing expires
Identifiers
Product ID 56104-904_42b885ee-203a-2e7a-e063-6394a90ad29bSPL ID 42b885ee-203a-2e7a-e063-6394a90ad29bSPL set ID 38583c02-497b-922c-e063-6294a90a49deRxCUI 1987674UNII 101I4J0U34

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

N456104090401 followed by a unit qualifier and the quantity

Package 56104-0904-01. 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 Relieves minor skin irritation due to: insect bites minor cuts minor scrapes

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 56104-904

What is NDC 56104-904?
56104-904 is the product NDC for Witch Hazel, Witch hazel 860 mg/g spray, listed with the FDA by Premier Brands of America Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Witch Hazel.
What is the active ingredient?
Witch hazel.
Who is the labeler?
Premier Brands of America Inc., NDC labeler code 56104. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Witch Hazel?
32 other product NDCs are listed under this name. See all Witch Hazel NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other Witch Hazel NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Witch HazelWitch hazel 842 mg/mLLiquidTopicalStrategic Sourcing Services LLC70677-125270677-1252-01
Witch HazelWitch hazel 860 mg/gSprayTopicalMeijer Distribution Inc79481-061779481-0617-01
Witch HazelWitch hazel 84 g/100mLLiquidTopicalCVS HEALTH69842-33069842-0330-16
Witch HazelWitch hazel 842 mg/mLLiquidTopicalCardinal Health (Leader) 7000070000-061570000-0615-01
Witch HazelWitch hazel 860 mg/mLLiquidTopicalValu Merchandisers Company63941-82263941-0822-43
Witch Hazelmedicated hemorrhoidal wipesWitch hazel 50 g/1001ClothTopicalGiant Eagle56194-55056194-0550-01
Witch HazelWitch hazel 85 mg/mLSolutionTopicalCHAIN DRUG MARKETING ASSOCIATION INC63868-59263868-0592-16
Witch HazelWitch hazel 86 g/100mLLiquidTopicalMedical Products Laboratories, Inc.10733-80110733-0801-08
Witch HazelWitch hazel 86 mg/100mLLiquidTopicalDiscount Drug Mart53943-55553943-0555-16
Witch HazelWitch hazel 860 mg/mLLiquidTopicalTopco Associates LLC76162-82276162-0822-43

All 33 Witch Hazel NDCs

Other NDCs under M 016

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

FDA NDC Directory listings under M 016
ProductStrengthForm · routeLabelerProduct NDC
Barrier Balmcolloidal oatmeal balmOatmeal 1 g/100gSalveTopicalTubby Todd73088-305
Earthmed Lip Balm PineappleallantoinAllantoin .045 g/4.455gSalveTopicalEarthmed LLC82876-988
Welmedix HomeCare PRO Fragile Skin ProtectantpetrolatumPetrolatum 42 g/100gOintmentTopicalWelmedix LLC24330-413
Petroleumwhite petrolatumPetrolatum 1 g/gJellyTopicalH E B37808-015
Pure Petrolatum JellypetrolatumPetrolatum 100 g/100gJellyTopicalMY IMPORTS USA LLC51628-4600
A and DpetrolatumPetrolatum 76 g/100gOintmentTopicalSafetec of America, Inc.61010-4405
Dermatitis Face Balmcolloidal oatmealOatmeal 5 g/100gOintmentTopicalSkinfix, Inc.61328-121
McKesson Skin Protectantzinc oxideZinc oxide 50 mg/mLCreamTopicalMcKesson Medical-Surgical Inc.68599-5312
All Over Lavender Rosemarycolloidal oat ointmentOatmeal 1 g/100gOintmentTopicalTubby Todd73088-303
XIMONTH GLP-1 PatchesglycerinAcetyl hexapeptide-8 amide .006 mg/30mg; Rose oil .006 mg/30mgPatchTopicalShantou Ximonth Biotechnology Co., Ltd.84989-009
Deep Renewal Broad Spectrumdimethicone, avobenzone, homosalate, and octisalateDimethicone 2 g/100g + 3 more ingredientsStickTopicalBlistex Inc10157-1170
Skin Soothing Cream - Nut Freecolloidal oatmealOatmeal 1 mg/gCreamTopicalAllure Labs62742-4194
Lavender Scent Petroleumwhite petroleumPetrolatum 99.9 g/100gJellyTopicalJell Pharmaceuticals Pvt Ltd30400-514
Witch HazelWitch hazel 842 mg/mLLiquidTopicalEQUATE (Wal-Mart Stores, Inc.) (see also WAL-MART INC)49035-039
Eczema Dermatitis Relief Balmcolloidal oatmealOatmeal 5 g/100gCreamTopicalSkinfix, Inc.61328-112
Dovenourishing hand sanitizer sensitive skin 8hr moisturizationAlcohol 610 mg/mLGelTopicalConopco Inc. d/b/a/ Unilever64942-1996
Petroleum Skin Protectantwhite petrolatumPetrolatum 1 g/gJellyTopicalPharmacy Value Alliance, LLC68016-069
Sweet Cheeks Diaper Sprayerzinc oxide diaper paste sprayZinc oxide 14.9 g/100gSprayTopicalTubby Todd73088-304
Estrogen Estriol Cream5% estriolEstriol 5 g/100gCreamTopicalYITONGBADA (SHENZHEN) INTERNATIONAL TRADE CO., LTD83364-026
Earthmed FS massage oilallantoinAllantoin 1 g/108.48gOilTopicalEarthmed LLC82876-986

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