Walgreens Gel
NDC Package 0363-6502-01

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

Package Information

Walgreens (hemorrhoidal cooling gel) gel is adults: when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe. This formulation utilizes a gel delivery system. Marketed by Walgreens, this product is identified by NDC 0363-6502 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
0363-6502-01
Package Description
1 TUBE in 1 CARTON / 25.5 g in 1 TUBE
Product Code
0363-6502
11-Digit Billing Format
00363650201
RxNorm Crosswalk
  • RxCUI: 249465 - phenylephrine HCl 0.25 % / witch hazel 50 % Rectal Gel
  • RxCUI: 249465 - phenylephrine 0.0025 MG/MG / witch hazel 0.5 MG/MG Rectal Gel
  • RxCUI: 249465 - phenylephrine 0.25 % / witch hazel 50 % Rectal Gel

Clinical Specifications

Proprietary Name
Walgreens
Non-Proprietary Name
Hemorrhoidal Cooling Gel
Substance Name
Phenylephrine Hydrochloride; Witch Hazel
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
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)
Pharmacologic Class
Usage Information
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 applying gel.when first opening the tube, puncture foil seal with top end of capapply externally to the affected area up to 4 times daily, especially at night, in the morning or after each bowel movementchildren 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
01-01-2004
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-6502-01 identifies a specific commercial package of 1 tube in 1 carton / 25.5 g in 1 tube of Walgreens, a human over the counter drug labeled by Walgreens. This gel is formulated for topical use and contains phenylephrine hydrochloride; 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 on January 01, 2004. 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: 00363650201. 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)
0363-6502-01
11-Digit CMS (5-4-2)
00363-6502-01

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