Walgreens Dandruff And Conditioner Cleansing And Conditioning Shampoo
NDC Package 0363-4136-01

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

Package Information

Walgreens Dandruff And Conditioner Cleansing And Conditioning (selenium sulfide) shampoos is a medication used to treat dandruff and a certain scalp infection (seborrheic dermatitis). This formulation utilizes a shampoo delivery system. Marketed by Walgreen Company, this product is identified by NDC 0363-4136 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
0363-4136-01
Package Description
325 mL in 1 BOTTLE, PLASTIC
Product Code
0363-4136
11-Digit Billing Format
00363413601
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Walgreens Dandruff And Conditioner Cleansing And Conditioning Anti-dandruff
Non-Proprietary Name
Selenium Sulfide
Substance Name
Selenium Sulfide
Dosage Form
Shampoo - A liquid soap or detergent used to clean the hair and scalp and is often used as a vehicle for dermatologic agents.
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)
SELENIUM SULFIDE 10 mg/mL
Usage Information
This medication is used to treat dandruff and a certain scalp infection (seborrheic dermatitis). It reduces itching, flaking, irritation, and redness of the scalp. Selenium sulfide is also used for a condition that causes discoloration of the skin (tinea versicolor). This medication belongs to a class of medications called anti-infectives. It works by slowing the growth of the yeast that causes the infection.

Regulatory & Marketing

Labeler Name
Walgreen Company
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-03-2023
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 0363-4136-01 identifies a specific commercial package of 325 ml in 1 bottle, plastic of Walgreens Dandruff And Conditioner Cleansing And Conditioning Anti-dandruff, a human over the counter drug labeled by Walgreen Company. This shampoo is formulated for topical use and contains selenium sulfide 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 Walgreen Company on January 03, 2023. The current certification is valid through December 31, 2026.

What are the primary indications for this medication?

This medication is used to treat dandruff and a certain scalp infection (seborrheic dermatitis). It reduces itching, flaking, irritation, and redness of the scalp. Selenium sulfide is also used for a condition that causes discoloration of the skin (tinea versicolor). This medication belongs to a class of medications called anti-infectives. It works by slowing the growth of the yeast that causes the infection.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363413601. 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)
0363-4136-01
11-Digit CMS (5-4-2)
00363-4136-01

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