NDC codes

FDA NDC Directory
Product NDC (as listed)57577-311Labeler and product segments. Claims need a package NDC.
Product NDC at billing width57577-0311Add 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
57577-311-035757703110312 CARTON in 1 BOX (57577-311-03) / 1 BOTTLE, DISPENSING in 1 CARTON (57577-311-02) / 236 mL in 1 BOTTLE, DISPENSING (57577-311-01)Marketed from Mar 14, 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)
SA Scalp Therapy
Generic name (nonproprietary)
sa scalp
Active ingredients
Salicylic acid — 30 g/236mL
Dosage form
Lotion/shampoo
Route
Topical
Labeler
Milbar LaboratoriesNDC labeler code 57577
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 032
Marketing start
Listing expires
Identifiers
Product ID 57577-311_304db1ab-acd8-43d5-e063-6294a90aeec2SPL ID 304db1ab-acd8-43d5-e063-6294a90aeec2SPL set ID 304db1ab-acd7-43d5-e063-6294a90aeec2UNII O414PZ4LPZ

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

N457577031103 followed by a unit qualifier and the quantity

Package 57577-0311-03. 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)

indications and usage

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 57577-311

What is NDC 57577-311?
57577-311 is the product NDC for SA Scalp Therapy (sa scalp), Salicylic acid 30 g/236mL lotion/shampoo, listed with the FDA by Milbar Laboratories. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
SA Scalp Therapy (SA Scalp).
What is the active ingredient?
Salicylic acid.
Who is the labeler?
Milbar Laboratories, NDC labeler code 57577. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for SA Scalp Therapy?
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 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
Equate Everyday Clean 2 in 1 Dandruff Anti-Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalWal-Mart Stores, Inc.49035-184
Itchy Scalp Relief Dandruffpyrithione zincPyrithione zinc .5 g/100mLShampooTopicalNINGBO LIYUAN DAILY CHEMICAL PRODUCTS CO., LTD.76176-134
Thera-Gelcoal tarCoal tar 5 mg/mLShampooTopicalMajor Pharmaceuticals0904-5259
BiotinMinoxidil 5 mg/100mLLiquidTopicalShenzhen yuehaotong Technology Co.,Ltd87492-002
Everyday Clean Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalTopco Associates LLC36800-153
Everyday Clean Dandruffpyrithione zincPyrithione zinc .5 g/100mLShampooTopicalNINGBO LIYUAN DAILY CHEMICAL PRODUCTS CO., LTD.76176-131
Anti-fungalanti-fungal shampooSelenium sulfide 1 g/100mLShampooTopicalShenzhen Chaoxiji Technology Co.,Ltd.87794-002
Dry Scalppyrithions zincPyrithione zinc 10 mg/mLShampooTopicalMeijer, Inc.41250-952
Kenkoderm Psoriasissalicylic acidSalicylic acid 3 g/100mLShampooTopicalOlympus Trading Company, LLC73632-003
Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalPublix Super Markets, Inc.56062-311
Smooth And Soft Dandruffpyrithione zincPyrithione zinc .5 g/100mLShampooTopicalNINGBO LIYUAN DAILY CHEMICAL PRODUCTS CO., LTD.76176-132
OLIVITA 5% Minoxidil5% minoxidilMinoxidil 5 g/100mLSolutionTopicalShenzhen Xinxin Yunhai Technology Co., Ltd.83818-028
UCHOIZE S2 Balance Anti-Dandruffuchoize s2 balance anti-dandruff shampooSelenium sulfide 1 g/100mLShampooTopicalDreamwise International Corp85724-001
Kenkoderm Psoriasis Moisturizingsalicylic acidSalicylic acid 2 g/100gCreamTopicalOlympus Trading Company, LLC73632-004
Matrix Biolage ScalpSync Antidandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalL'Oreal USA Products Inc49967-052
TEA TREE Oil DANDRUFFpyrithione zincPyrithione zinc .5 g/100mLShampooTopicalNINGBO LIYUAN DAILY CHEMICAL PRODUCTS CO., LTD.76176-133
up and up Moisturizing Anti-dandruff Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasisselenium sulfideSelenium sulfide 10 mg/mLShampooTopicalTARGET CORPORATION82442-308
VENANOCI MinoxidilminoxidilMinoxidil 5 g/100mLSolutionTopicalShenzhen Xinxin Yunhai Technology Co., Ltd.83818-029
Head and Shoulders Bare Minimal Ingredients Total Scalp Carepyrithione zincPyrithione zinc 1 g/100mLShampooTopicalThe Procter & Gamble Manufacturing Company84126-259
Zinc PyrithionePyrithione zinc 10 mg/mLShampooTopicalHarry's Inc.70533-003

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