Pre-moistened Medicated Wipes, Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent, Walgreens Pre-moistened Medicated Wipes, Walgreens Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent Cloth
NDC Package 0363-1740-48

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

Package Information

Pre-moistened Medicated Wipes, Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent, Walgreens Pre-moistened Medicated Wipes, Walgreens Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent (witch hazel) cloths is as hemorrhoidal treatment for adults:when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.gently dry by patting or blotting with toilet tissue or soft cloth before applying.gently apply to the affected area by patting and then discard.can be used up to six times daily or after each bowel movement.Children under 12 years of ageconsult a doctor. This formulation utilizes a cloth delivery system. Marketed by Walgreens Company, this product is identified by NDC 0363-1740 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
0363-1740-48
Package Description
48 PATCH in 1 PACKET / 50 mg in 1 PATCH
Product Code
0363-1740
11-Digit Billing Format
00363174048
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pre-moistened Medicated Wipes, Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent, Walgreens Pre-moistened Medicated Wipes, Walgreens Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent
Non-Proprietary Name
Witch Hazel
Substance Name
Witch Hazel
Dosage Form
Cloth - A large piece of relatively flat, absorbent material that contains a drug. It is typically used for applying medication or for cleansing.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
WITCH HAZEL 50 mg/100mg
Usage Information
As hemorrhoidal treatment for adults:when practical, cleanse the affected area with mild soap and warm water and rinse thoroughly.gently dry by patting or blotting with toilet tissue or soft cloth before applying.gently apply to the affected area by patting and then discard.can be used up to six times daily or after each bowel movement.Children under 12 years of ageconsult a doctor.

Regulatory & Marketing

Labeler Name
Walgreens Company
Product Type
Human Otc Drug
FDA Application #
M015
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
04-18-2010
Listing Expiration
12-31-2026
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-1740-48 identifies a specific commercial package of 48 patch in 1 packet / 50 mg in 1 patch of Pre-moistened Medicated Wipes, Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent, Walgreens Pre-moistened Medicated Wipes, Walgreens Pre-moistened Medicated Wipes Witch Hazel 50%/hemorrhoidal Astringent, a human over the counter drug labeled by Walgreens Company. This cloth is formulated for topical use and contains witch hazel 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 Company on April 18, 2010. The current certification is valid through December 31, 2026.

How is this Walgreens Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363174048. 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)
0363-1740-48
11-Digit CMS (5-4-2)
00363-1740-48

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