Walgreens Hemorrhoidal Suppository
NDC Package 0363-0476-24

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Other Packages
    3. Frequently Asked Questions

Package Information

Walgreens Hemorrhoidal (hemorrhoidal rectal suppositories) suppositories is directions: Adults-when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe. This formulation utilizes a suppository delivery system. Marketed by Walgreens, this product is identified by NDC 0363-0476 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
0363-0476-24
Package Description
4 BLISTER PACK in 1 CARTON / 6 SUPPOSITORY in 1 BLISTER PACK (0363-0476-25)
Product Code
0363-0476
11-Digit Billing Format
00363047624
RxNorm Crosswalk
  • RxCUI: 1438497 - cocoa butter 88.4 % / phenylephrine HCl 0.25 % Rectal Suppository
  • RxCUI: 1438497 - cocoa butter 0.884 MG/MG / phenylephrine hydrochloride 0.0025 MG/MG Rectal Suppository

Clinical Specifications

Proprietary Name
Walgreens Hemorrhoidal
Non-Proprietary Name
Hemorrhoidal Rectal Suppositories
Substance Name
Cocoa Butter; Phenylephrine Hydrochloride
Dosage Form
Suppository - A solid body of various weights and shapes, adapted for introduction into the rectal orifice of the human body; they usually melt, soften, or dissolve at body temperature.
Administration Route
  • Rectal - Administration to the rectum.
  • Rectal - Administration to the rectum.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Directions: Adults-when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe.  Gently dry by patting or blotting with a tissue or a soft cloth before insertion of this product.-detach one suppository from the strip; remove the foil wrapper before inserting into the rectum as follows:-hold suppository with rounded end up-as shown, carefully separate foil tabs by inserting tip of fingernail at end marked "peel down"-slowly and evenly peel apart (do not tear) foil by pulling tabs down both sides, to expose from wrapper-insert on suppository into the rectum up to 4 times daily, especially at night, in the morning or after each bowel movement-children under 12 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Walgreens
Product Type
Human Otc Drug
FDA Application #
M015
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-18-2014
Listing Expiration
12-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Other Available Packages

The following commercial packages are registered under the same Product NDC (0363-0476). Click a package code to view its specific billing and regulatory data.

0363-0476-12
2 BLISTER PACK in 1 CARTON / 6 SUPPOSITORY in 1 BLISTER PACK (0363-0476-13)

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-0476-24 identifies a specific commercial package of 4 blister pack in 1 carton / 6 suppository in 1 blister pack (0363-0476-25) of Walgreens Hemorrhoidal, a human over the counter drug labeled by Walgreens. This suppository is formulated for rectal use and contains cocoa butter; phenylephrine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens on September 18, 2014. The current certification is valid through December 31, 2027.

How is this Walgreens product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363047624. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-0476-24
11-Digit CMS (5-4-2)
00363-0476-24

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.