NDC codes

FDA NDC Directory
Product NDC (as listed)63868-877Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63868-0877Add 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
63868-877-0663868087706177 mL in 1 CONTAINER (63868-877-06)Marketed from Apr 24, 2019

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)
Poison Ivy Wash
Generic name (nonproprietary)
pramoxine hcl
Active ingredients
Pramoxine hydrochloride — 10 mg/mL
Dosage form
Lotion
Route
Topical
Labeler
Chain Drug Market AssociationNDC labeler code 63868
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Identifiers
Product ID 63868-877_0cf4cb65-adda-e3ca-e063-6294a90a3e30SPL ID 0cf4cb65-adda-e3ca-e063-6294a90a3e30SPL set ID 873a546b-90ae-50cb-e053-2a91aa0adbfbRxCUI 1247251UNII 88AYB867L5

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

N463868087706 followed by a unit qualifier and the quantity

Package 63868-0877-06. 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)

For temporary relief of pain and itching associated with poison ivy, poison oak, and poison sumac.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 63868-877

What is NDC 63868-877?
63868-877 is the product NDC for Poison Ivy Wash (pramoxine hcl), Pramoxine hydrochloride 10 mg/mL lotion, listed with the FDA by Chain Drug Market Association. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Poison Ivy Wash (Pramoxine HCl).
What is the active ingredient?
Pramoxine hydrochloride.
Who is the labeler?
Chain Drug Market Association, NDC labeler code 63868. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Poison Ivy Wash?
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 017

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

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
0.5% Lidocaine Burn Relieflidocaine hydrochlorideLidocaine hydrochloride .5 g/100gGelTopicalNantong Health & Beyond Hygienic Products Inc.43473-099
0.5% Lidocaine Burn Relieflidocaine hydrochlorideLidocaine hydrochloride .5 g/100gGelTopicalUniversal Distribution Center LLC52000-437
1% Hydrocortisone Anti-itchHydrocortisone 10 mg/gCreamTopicalALAINA HEALTHCARE PRIVATE LIMITED73492-291
10% Methyl Salicylate Pain Relief Patch10% methyl salicylateMethyl salicylate 10 mg/100mgTapeTopicalAkron Coating & Adhesives65604-222
11681168 burn sprayLidocaine hydrochloride .02 mg/mLSprayTopicalDynarex Corporation67777-013
2.0% Lidocaine Burnlidocaine hydrochlorideLidocaine hydrochloride 2 g/100mLSprayTopicalNantong Health & Beyond Hygienic Products Inc.43473-097
2.0% Lidocaine Burnlidocaine hydrochlorideLidocaine hydrochloride 2 g/100mLSprayTopicalUniversal Distribution Center LLC52000-441
2.5% Menthol PAIN RELIEFmentholMenthol, Unspecified form 25 mg/gGelTopicalNantong Health & Beyond Hygienic Products Inc.43473-096
2.5% Menthol PAIN RELIEFmentholMenthol, Unspecified form 25 mg/gGelTopicalUniversal Distribution Center LLC52000-440
24 7 Relief and Recovery Pain Relievingmenthol, unspecified formMenthol, Unspecified form 37 mg/mLCreamTopicalTriplicare Inc87656-964
2677 First Aid Burn CreamBenzalkonium chloride 13 mg/10000mg; Lidocaine hydrochloride 50 mg/10000mgCreamTopicalProStat First Aid LLC58228-2677
2nd CHANCE MOBILITY Pain Reliefhistamine dihydrochlorideHistamine dihydrochloride .5 mg/gCreamTopicalALPHA NUTRITION, LLC83984-441
365 Medicated Lip Balmmedicated lip balmCamphor (Natural) .0578 g/4.25gStickTopicalWhole Foods Market, Inc.42681-0001
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
4 Lidocaine Topical AnestheticlidocaineLidocaine 40 mg/gCreamTopicalRUGBY LABORATORIES0536-1267
4% Lidocaine Maximum Strength Pain RelieflidocaineLidocaine .04 g/1PatchTopicalShenzhen Finona Information Technology Co., Ltd85839-011
4% Lidocaine Pain Relief Patchlidocaine 4%Lidocaine .04 g/1PatchTransdermalGuangxi Keyun E-commerce Co., Ltd.87278-003
4% Lidocaine Pain Relief Patchlidocaine 4%Lidocaine .04 g/1PatchTransdermalGuangxi Keyun E-commerce Co., Ltd.87278-020
4% Lidocaine Patches4% lidocaineLidocaine 40 mg/1PatchTopicalShenzhen Huayuan Hengsheng Technology Co., Ltd.87394-002
4% Lidocaine PatchesLidocaine 4 g/1001PatchTopicalShenzhen Chaoxiji Technology Co.,Ltd.87794-006

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