What is NDC 69842-255?

69842-255 is the product NDC for CVS 3 Step Lice Solution kit, listed with the FDA by CVS. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

CVS 3 Step Lice Solution (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 3 Step Lice Solution?

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 3 Step Lice Solution NDC 69842-255

NDC codes

FDA NDC Directory

Product NDC (as listed)69842-255Labeler and product segments. Claims need a package NDC.

Product NDC at billing width69842-0255Add 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
69842-255-01	6984202550169842025501	1 KIT in 1 CARTON (69842-255-01) * 118 mL in 1 BOTTLEMarketed from Jan 3, 2014

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 3 Step Lice Solution
Generic name (nonproprietary): piperonyl butoxide, pyrethrum extract
Dosage form: Kit
Route: Topical
Labeler: CVSNDC labeler code 69842
Product type: Over-the-counter drug
Marketing category: OTC monograph drugApplication M 031
Marketing start: Jan 3, 2014
Listing expires: Dec 31, 2026
Identifiers: Product ID 69842-255_0c05a2e7-eb57-2619-e063-6294a90a35c7SPL ID 0c05a2e7-eb57-2619-e063-6294a90a35c7SPL set ID 49cd21fc-282e-103b-e054-00144ff88e88RxCUI 283219

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

N469842025501 followed by a unit qualifier and the quantity

Package 69842-0255-01. 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 Dec 8, 2023.

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 69842-255

What is NDC 69842-255?: 69842-255 is the product NDC for CVS 3 Step Lice Solution kit, listed with the FDA by CVS. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: CVS 3 Step Lice Solution (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 3 Step Lice Solution?: 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
ABC Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-312
Best Choice Lice Treatmentpiperonyl butoxide, pyrethrum extract	—	KitTopical	Associated Wholesale Grocers, Inc.	63941-522
Bldaxn Ivermectin Lotion0.5%bldaxn ivermectin lotion 0.5%	Ivermectin .5 g/100mL	EmulsionTopical	GUANGZHOU YUSONG FINE CHEMICLS Co., Ltd	84558-024
CVS Health Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	CVS	69842-250
Discount Drug Mart Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Discount Drug Mart	53943-253
Discount Lice Treatmentpiperonyl butoxide, pyrethrum extract	—	KitTopical	Discount drug mart	53943-255
El Piojito Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Pharmadel	55758-253
Family Wellness Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Family Dollar	55319-253
Foster and Thrive Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Strategic Sourcing Services, LLC	70677-1184
GNP Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	AmerisourceBergen Drug Corporation	46122-759
GoodSense Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	Perrigo Direct, LLC	50804-255
GoodSense Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	Perrigo Direct, Inc.	50804-253
Kakshal Permethrinpermethrin	Permethrin 1 g/100mL	LotionTopical	Kakshal	87544-8526
Kroger Complete Lice Treatment Kitpiperonyl butoxide, pyrethrum extract	—	KitTopical	The Kroger Co	30142-252
Kroger Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	The Kroger Co	30142-253
Leader Lice Killingpiperonyl butoxide, pyrethrum extract	Pyrethrum extract .33 g/100mL; Piperonyl butoxide 4 g/100mL	ShampooTopical	LEADER/ Cardinal Health 110, Inc.	70000-0633
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Weeks & Leo Co., Inc.	11383-310
Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	PHARMACY VALUE ALLIANCE LLC	68016-253
Lice No More Lice Killingpiperonyl butoxide, pyrethrum extract	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .33 g/100mL	ShampooTopical	Weeks & Leo Co., Inc	11383-001
Liendrexpyrethrum extract, piperonyl butoxide	Piperonyl butoxide 4 g/100mL; Pyrethrum extract .3 g/100mL	ShampooTopical	Menper Distributors Inc.	53145-308

Showing 20 of 39.

CVS 3 Step Lice Solution (Piperonyl butoxide, pyrethrum extract) NDC 69842-255