NDC codes

FDA NDC Directory
Product NDC (as listed)71573-121Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71573-0121Add 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
71573-121-127157301211271573012112177 mL in 1 BOTTLE, PLASTIC (71573-121-12)Marketed from Apr 1, 2022

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)
Prosoria Medicated
Generic name (nonproprietary)
selenium sulfide
Active ingredients
Selenium sulfide — 1.77 g/177mL
Dosage form
Lotion/shampoo
Route
Topical
Labeler
Nuvothera, Inc.NDC labeler code 71573
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 032
Marketing start
Listing expires
Identifiers
Product ID 71573-121_6fec05aa-5d44-4667-98f7-c61ac09c6307SPL ID 6fec05aa-5d44-4667-98f7-c61ac09c6307SPL set ID 44eaaeb0-1400-4697-85d0-e8c2282c1cbaRxCUI 204642UNII Z69D9E381Q

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

N471573012112 followed by a unit qualifier and the quantity

Package 71573-0121-12. 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)

Uses for the relief of itching, irritation, redness, flaking, scaling associated with dandruff and seborrheic dermatitis.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71573-121

What is NDC 71573-121?
71573-121 is the product NDC for Prosoria Medicated (selenium sulfide), Selenium sulfide 1.77 g/177mL lotion/shampoo, listed with the FDA by Nuvothera, Inc.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Prosoria Medicated (Selenium Sulfide).
What is the active ingredient?
Selenium sulfide.
Who is the labeler?
Nuvothera, Inc., NDC labeler code 71573. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Prosoria Medicated?
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
Walgreens Dandruff and Conditioner Cleansing and Conditioning Anti-dandruffselenium sulfideSelenium sulfide 10 mg/mLShampooTopicalWalgreen Company0363-4136
Head and Shoulders Men Daily Pure Sport Old Spicepyrithione zincPyrithione zinc 1 g/100mLShampooTopicalThe Procter & Gamble Manufacturing Company84126-928
Dr Marvel ANTI DANDRUFF SCALP SERUMselenium sulfide salicylic acidSalicylic acid 2 mg/100mg; Selenium sulfide 2 mg/100mgSolutionTopicalGuangzhou Liyan Cosmetics Technology Co., Ltd.87770-025
Everyday Clean Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalTopco Associates LLC36800-153
Head and Shoulders Clinical Strength Dandruff Defense Advanced Oil Controlselenium sulfideSelenium sulfide 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company69423-525
Coal TarCoal tar 1.39 g/100mLOintmentTopicalNopsor USA Distribution Co., Inc.70666-016
Head and Shoulders Clinical Strength Dandruff Defense Intensive Itch Reliefselenium sulfideSelenium sulfide 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company69423-526
Coal TarCoal tar 5.39 g/250mLShampooTopicalNopsor USA Distribution Co., Inc.70666-022
Dr. Groot Anti-dandruff Scalp Caresalicylic acidSalicylic acid 30 mg/mLShampooTopicalLG H&H CO., LTD.53208-901
Head and Shoulders 2in1 Clinical Strength Dandruff Defense Intensive Itch Reliefselenium sulfideSelenium sulfide 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company69423-527
Rida Hair Research Institute RHRI Neoketramin Antifungal Yeast Relief Treatmentsalicylic acidSalicylic acid 3 g/100mLSprayTopicalRida LLC83004-048
X20Hair Anti Fungalfolliculitisshampoozinc pyrithioneZinc pyrithione 1 mg/100mLLiquidTopicalGuangzhou Tata Biotechnology Co., Ltd.84066-106
Dr. Groot Anti-dandruff Scalp Care 2 in 1salicylic acidSalicylic acid 30 mg/mLShampooTopicalLG H&H CO., LTD.53208-902
Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalYour Military Exchanges55301-281
Head and Shoulders 2in1 Men Advanced Series Pure Sport Old Spicepyrithione zincPyrithione zinc 1 g/100mLLotion/shampooTopicalThe Procter & Gamble Manufacturing Company69423-293
RestoraScalp Anti Dandruff Dry Light Rootsanti dandruff dry shampooSalicylic acid 2 g/100gPowderTopicalRaven Innovations LLC84042-101
Walgreens Everyday Clean Dandruff Anti-Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalWalgreen Company0363-2606
Scalp Revivalsalicylic acid 3%Salicylic acid 3 g/100mLShampooTopicalBeccair, LLC82594-001
Dandruffpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalUnited Natural Foods, Inc. dba UNFI41163-253
CONTROL Dandruff- Free Beard Washpyrithione zincPyrithione zinc 10 mg/mLShampooTopicalKamedis Inc50718-0035

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