NDC Package 56104-904-01 Witch Hazel

Spray Topical - View Billable Units, 11-Digit Format, RxNorm

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
56104-904-01
Package Description:
170 g in 1 CAN
Product Code:
Proprietary Name:
Witch Hazel
Non-Proprietary Name:
Witch Hazel
Substance Name:
Witch Hazel
Usage Information:
Apply as often as neededto apply to face, moisten cotton ball or cleansing pad and gently wipe skin
11-Digit NDC Billing Format:
56104090401
NDC to RxNorm Crosswalk:
Product Type:
Human Otc Drug
Labeler Name:
Premier Brands Of America Inc.
Dosage Form:
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route(s):
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):
Sample Package:
No
FDA Application Number:
M016
Marketing Category:
OTC MONOGRAPH DRUG -
Start Marketing Date:
08-27-2023
Listing Expiration Date:
12-31-2026
Exclude Flag:
N
Code Structure:

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 disclaimer below.

Frequently Asked Questions

What is NDC 56104-904-01?

The NDC Packaged Code 56104-904-01 is assigned to a package of 170 g in 1 can of Witch Hazel, a human over the counter drug labeled by Premier Brands Of America Inc.. The product's dosage form is spray and is administered via topical form.

Is NDC 56104-904 included in the NDC Directory?

Yes, Witch Hazel with product code 56104-904 is active and included in the NDC Directory. The product was first marketed by Premier Brands Of America Inc. on August 27, 2023 and its listing in the NDC Directory is set to expire on December 31, 2026 if the product is not updated or renewed by the manufacturer.

What is the 11-digit format for NDC 56104-904-01?

The 11-digit format is 56104090401. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
5-3-256104-904-015-4-256104-0904-01