Over-the-counter drug · OTC MONOGRAPH DRUG
RestoraScalp Anti Dandruff Dry Light Roots (Anti dandruff dry shampoo) NDC 84042-101
Salicylic acid 2 g/100g · Powder · Topical · Raven Innovations LLC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84042-101-02 | 84042010102 | 17.5 g in 1 BOTTLE (84042-101-02)Marketed from Sep 19, 2026 |
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)
- RestoraScalp Anti Dandruff Dry Light Roots
- Generic name (nonproprietary)
- anti dandruff dry shampoo
- Active ingredients
- Salicylic acid — 2 g/100g
- Dosage form
- Powder
- Route
- Topical
- Labeler
- Raven Innovations LLCNDC labeler code 84042
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 032
- Marketing start
- Listing expires
- Identifiers
- Product ID 84042-101_5bdc88e2-b0c1-bf88-e063-6394a90af626SPL ID 5bdc88e2-b0c1-bf88-e063-6394a90af626
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
N484042010102followed by a unit qualifier and the quantityPackage 84042-0101-02. 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
The FDA listing for this product does not reference a label (SPL) set.
About NDC 84042-101
- What is NDC 84042-101?
- 84042-101 is the product NDC for RestoraScalp Anti Dandruff Dry Light Roots, Salicylic acid 2 g/100g powder, listed with the FDA by Raven Innovations LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- RestoraScalp Anti Dandruff Dry Light Roots (Anti Dandruff Dry Shampoo).
- What is the active ingredient?
- Salicylic acid.
- Who is the labeler?
- Raven Innovations LLC, NDC labeler code 84042. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for RestoraScalp Anti Dandruff Dry Light Roots?
- 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.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| 111MedCo Medicated Bar 2 Pyrithione Zincpyrithione zinc | Pyrithione zinc 20 mg/g | SoapTopical | 111MedCo LLC | 72811-002 |
| 13.5oz 2 In 1 Dandruff Hair Cleanse and Conditioner - Eucalyptus and Mintpyrithione zinc | Pyrithione zinc .5 g/100mL | ShampooTopical | Rejoice International Corp. | 57337-178 |
| 13.5oz 2 In 1 Dandruff Hair Cleanse and Conditioner - Eucalyptus and Mintpyrithione zinc shampoo | Pyrithione zinc .5 g/100mL | ShampooTopical | China Ningbo Shangge Cosmetics Technology Corp. | 58503-210 |
| 13.5oz 2 In 1 Dandruff Hair Cleanse and Conditioner - Shea and Cocoa Butterpyrithione zinc | Pyrithione zinc .5 g/100mL | ShampooTopical | Rejoice International Corp. | 57337-179 |
| 13.5oz 2 In 1 Dandruff Hair Cleanse and Conditioner - Shea and Cocoa Butterpyrithione zinc shampoo | Pyrithione zinc .5 g/100mL | ShampooTopical | China Ningbo Shangge Cosmetics Technology Corp. | 58503-211 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Target Corporation | 11673-643 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Better Living Brands, LLC | 21130-942 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | H E B | 37808-311 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | H E B | 37808-612 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | United Natural Foods, Inc. dba UNFI | 41163-266 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Old East Main Co. | 55910-311 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Old East Main Co. | 55910-496 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Old East Main Co. | 55910-921 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Old East Main Co. | 55910-942 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Aldi, Inc | 64024-311 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Retail Business Services, LLC | 72476-362 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Retail Business Services, LLC | 72476-612 |
| 2 in 1 Dandruffpyrithione zinc | Pyrithione zinc 10 mg/mL | ShampooTopical | Topco Associates LLC | 76162-362 |
| 5% Minoxidil and 5% Rosemary for Hair Careminoxidil | Minoxidil 5 g/100mL; Rosemary 5 g/100mL | LiquidTopical | TIKNOW LLC | 84454-001 |
| 5% MINOXIDIL HAIR REGROWTH SERUM With Biotinminoxidil | Minoxidil 5 g/100mL; Biotin .2 g/100mL | SolutionTopical | Shenzhen Ctrip Technology Co., Ltd. | 84614-001 |
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