What is NDC 83004-013?

83004-013 is the product NDC for Folliculitis Scalp (salicylic acid), Salicylic acid 3 g/100mL spray, listed with the FDA by Rida LLC. It has 1 package NDC, shown above in 10- and 11-digit form.

What drug is associated with this NDC?

Folliculitis Scalp (Salicylic acid).

Rida LLC, NDC labeler code 83004. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.

What other NDCs exist for Folliculitis Scalp?

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.

Folliculitis Scalp NDC 83004-013 | National Drug Code

NDC codes

FDA NDC Directory

Product NDC (as listed)83004-013Labeler and product segments. Claims need a package NDC.

Product NDC at billing width83004-0013Add 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
83004-013-01	83004001301	1 BOTTLE in 1 CARTON (83004-013-01) / 120 mL in 1 BOTTLEMarketed from Feb 27, 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): Folliculitis Scalp
Generic name (nonproprietary): salicylic acid
Active ingredients: Salicylic acid — 3 g/100mL
Dosage form: Spray
Route: Topical
Labeler: Rida LLCNDC labeler code 83004
Product type: Over-the-counter drug
Marketing category: Unapproved drug (other)
Marketing start: Feb 27, 2025
Listing expires: Dec 31, 2026
Identifiers: Product ID 83004-013_2faea22a-dd83-5e4d-e063-6394a90aef7dSPL ID 2faea22a-dd83-5e4d-e063-6394a90aef7dSPL set ID dc90e4a2-9b63-4dfa-a35b-3789ebb336d4RxCUI 2707560UNII 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

N483004001301 followed by a unit qualifier and the quantity

Package 83004-0013-01. 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 Mar 6, 2025.

Indications (excerpt from the label)

Uses Specifically formulated for the treatment of scalp folliculitis. Provides relief from symptoms associated with folliculitis on the scalp. Helps reduce redness, itching, and discomfort caused by inflamed hair follicles on the scalp.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 83004-013

What is NDC 83004-013?: 83004-013 is the product NDC for Folliculitis Scalp (salicylic acid), Salicylic acid 3 g/100mL spray, listed with the FDA by Rida LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?: Folliculitis Scalp (Salicylic acid).
What is the active ingredient?: Salicylic acid.
Who is the labeler?: Rida LLC, NDC labeler code 83004. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Folliculitis Scalp?: 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.

Folliculitis Scalp (Salicylic acid) NDC 83004-013