Xyralid Hemorrhoidal NDC 57483-410

NDC codes

FDA NDC Directory

Product NDC (as listed)57483-410Labeler and product segments. Claims need a package NDC.

Product NDC at billing width57483-0410Add 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 NDC	11-digit (billing)	Package	Copy
57483-410-13	57483041013	4 BLISTER PACK in 1 CARTON (57483-410-13) / 24 g in 1 BLISTER PACK (57483-410-12)Marketed from Mar 25, 2018

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): Xyralid Hemorrhoidal
Generic name (nonproprietary): hemorrhoidal suppositories
Active ingredients: Cocoa butter — 88.5 g/100gPhenylephrine hydrochloride — .26 g/100g
Dosage form: Suppository
Route: Rectal
Labeler: Innovus Pharmaceuticals, Inc.
Product type: Over-the-counter drug
Marketing category: OTC monograph (final)Application part346
Marketing start: Mar 25, 2018
Listing expires: Dec 31, 2026
Other FDA classes: Adrenergic alpha1-Agonists (Mechanism)
Identifiers: Product ID 57483-410_cd6eb255-a89d-40c5-90a0-13f907ab0ad5SPL ID cd6eb255-a89d-40c5-90a0-13f907ab0ad5SPL set ID 8a885822-42e7-44e0-82d6-fa967123866eRxCUI 1438497UNII 512OYT1CRR, 04JA59TNSJ
Pharmacologic class: alpha-1 Adrenergic Agonist

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

N457483041013 followed by a unit qualifier and the quantity

Package 57483-0410-13. 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 May 3, 2018.

Indications (excerpt from the label)

When using this product do not exceed the recommended daily dosage unless directed by a doctor

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under part346

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

FDA NDC Directory listings under part346
Product	Strength	Form · route	Labeler	Product NDC
Dynamo Wellness Delay Wipe	Benzocaine 4 g/100g	ClothTopical	Momentum Management LLC	69664-005
Dynamo Wellness Delay MAX Wipe	Benzocaine 7.5 g/100g	ClothTopical	Momentum Management LLC	69664-006

Xyralid Hemorrhoidal (hemorrhoidal suppositories) NDC 57483-410