Walgreens Advanced Wound Hydrogel
NDC Package 0363-9655-10

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

Package Information

Walgreens Advanced Wound Hydrogel (allantoin, benzethonium chloride) gel is adults and children 2 years of age & older:Clean minor cut, scrapes, or burns by thoroughly flushing the affected area with water or a wound cleanser and let air dryapply appropriate layer of the gel to cover the affected areamay be covered with a sterile bandageapply 1 to 3 times dailyChildren under 2 years of age:ask a doctor. This formulation utilizes a gel delivery system. Marketed by Walgreen Company, this product is identified by NDC 0363-9655 and is authorized under FDA application M004.

Identification & Billing

NDC Package Code
0363-9655-10
Package Description
1 TUBE in 1 CARTON / 87 mL in 1 TUBE
Product Code
0363-9655
11-Digit Billing Format
00363965510

Clinical Specifications

Proprietary Name
Walgreens Advanced Wound Hydrogel
Non-Proprietary Name
Allantoin, Benzethonium Chloride
Substance Name
Allantoin; Benzethonium Chloride
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)
Usage Information
Adults and children 2 years of age & older:Clean minor cut, scrapes, or burns by thoroughly flushing the affected area with water or a wound cleanser and let air dryapply appropriate layer of the gel to cover the affected areamay be covered with a sterile bandageapply 1 to 3 times dailyChildren under 2 years of age:ask a doctor

Regulatory & Marketing

Labeler Name
Walgreen Company
Product Type
Human Otc Drug
FDA Application #
M004
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-28-2025
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 0363-9655-10 identifies a specific commercial package of 1 tube in 1 carton / 87 ml in 1 tube of Walgreens Advanced Wound Hydrogel, a human over the counter drug labeled by Walgreen Company. This gel is formulated for topical use and contains allantoin; benzethonium chloride 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 February 28, 2025. The current certification is valid through December 31, 2026.

How is this Walgreen Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363965510. 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)
0363-9655-10
11-Digit CMS (5-4-2)
00363-9655-10

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