What is NDC 69842-250?

69842-250 is the product NDC for CVS Health Lice Killing, Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL shampoo, listed with the FDA by CVS. It has 2 package NDCs, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

CVS Health Lice Killing (Piperonyl butoxide, Pyrethrum extract).

What is the active ingredient?

Piperonyl butoxide, Pyrethrum extract.

CVS, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for CVS Health 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.

CVS Health Lice Killing NDC 69842-250 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-250Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0250Add 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
69842-250-04	69842025004	1 BOTTLE in 1 CARTON (69842-250-04) / 177 mL in 1 BOTTLEMarketed from Jan 3, 2014
69842-250-08	69842025008	1 BOTTLE in 1 CARTON (69842-250-08) / 236 mL in 1 BOTTLEMarketed from Oct 28, 2010

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): CVS Health 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: CVSNDC labeler code 69842
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 031
Marketing start: Oct 28, 2010
Listing expires: Dec 31, 2026
Identifiers: Product ID 69842-250_29a1675d-49fd-d186-e063-6294a90af63dSPL ID 29a1675d-49fd-d186-e063-6294a90af63dSPL set ID 49da5655-28ab-09cf-e054-00144ff8d46cRxCUI 283219UNII LWK91TU9AH, ZUM06L90GVUPC 0050428384664

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

N469842025004 followed by a unit qualifier and the quantity

Package 69842-0250-04. 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 Dec 19, 2024.

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 69842-250

What is NDC 69842-250?: 69842-250 is the product NDC for CVS Health Lice Killing, Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL shampoo, listed with the FDA by CVS. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: CVS Health Lice Killing (Piperonyl butoxide, Pyrethrum extract).
What is the active ingredient?: Piperonyl butoxide, Pyrethrum extract.
Who is the labeler?: CVS, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for CVS Health 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
Product	Strength	Form · route	Labeler	Product NDC
GoodSense Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Perrigo Direct, Inc.	50804-253
GoodSense Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Perrigo Direct, LLC	50804-255
Walgreens Lice Eliminationpiperonyl butoxide, pyrethrum extract	—	KitTopical	Walgreens	0363-3255
Kakshal Permethrinpermethrin	Permethrin 1 g/100mL	LotionTopical	Kakshal	87544-8526
Topcare Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Topco Associates, LLC	76162-253
Topcare Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Topco Associates, LLC	76162-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract	—	KitTopical	CVS	69842-255
CVS 3 Step Lice Solutionpiperonyl butoxide, pyrethrum extract	—	KitTopical	CVS	69842-255
RID Lice Killingpiperonyl butoxide and pyrethrum extract	Piperonyl butoxide 40 mg/mL; Pyrethrum extract .033 mg/mL	ShampooTopical	Oystershell Consumer Health Inc	82392-100
RID Lice Treatment Complete Kitpiperonyl butoxide, pyrethrum extract	—	Kit	Oystershell Consumer Health Inc	82392-101
Meijer Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Meijer, Inc.	79481-2550
Meijer Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Meijer, Inc.	79481-2530
GNP Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	AmerisourceBergen Drug Corporation	46122-759
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	PHARMACY VALUE ALLIANCE LLC	68016-253
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-310
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Pharmadel	55758-253
Premier Value Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	PHARMACY VALUE ALLIANCE LLC	68016-552
ABC Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-312
Quality Choice Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Quality Choice	83324-269
Weeks and Leo Complete Lice Treatmentpiperonyl butoxide, pyrethrum extract	—	KitTopical	Weeks & Leo Co., Inc.	11383-255

Showing 20 of 39.

CVS Health Lice Killing (Piperonyl butoxide, pyrethrum extract) NDC 69842-250