1. Home
  2. Labeler Index
  3. Prime Enterprises, Inc.
  4. 58443-0621
  5. NDC Package Code: 58443-0621-4 Frida Mom Healing Foam

NDC Package 58443-0621-4 Frida Mom Healing Foam

Witch Hazel Aerosol, Foam Topical - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

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:
58443-0621-4
Package Description:
139 mL in 1 BOTTLE, PUMP
Product Code:
58443-0621
Proprietary Name:
Frida Mom Healing Foam
Non-Proprietary Name:
Witch Hazel
Substance Name:
Witch Hazel
Usage Information:
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 a soft cloth before application of this product. Add foam on top of pad or pad liner. Children under 12 years of age: consult a doctor. Apply to the affected area up to 6 times daily or after each bowel movement.
11-Digit NDC Billing Format:
58443062104
Product Type:
Human Otc Drug
Labeler Name:
Prime Enterprises, Inc.
Dosage Form:
Aerosol, Foam - A dosage form containing one or more active ingredients, surfactants, aqueous or nonaqueous liquids, and the propellants; if the propellant is in the internal (discontinuous) phase (i.e., of the oil-in-water type), a stable foam is discharged, and if the propellant is in the external (continuous) phase (i.e., of the water-in-oil type), a spray or a quick-breaking foam is discharged.
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):
  • WITCH HAZEL 510 mg/mL
    • Sample Package:
    No
    FDA Application Number:
    M015
    Marketing Category:
    OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
    Start Marketing Date:
    04-21-2022
    Listing Expiration Date:
    12-31-2024
    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 58443-0621-4?

    The NDC Packaged Code 58443-0621-4 is assigned to a package of 139 ml in 1 bottle, pump of Frida Mom Healing Foam, a human over the counter drug labeled by Prime Enterprises, Inc.. The product's dosage form is aerosol, foam and is administered via topical form.

    Is NDC 58443-0621 included in the NDC Directory?

    Yes, Frida Mom Healing Foam with product code 58443-0621 is active and included in the NDC Directory. The product was first marketed by Prime Enterprises, Inc. on April 21, 2022 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 58443-0621-4?

    The 11-digit format is 58443062104. 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 5-4-1 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
    5-4-158443-0621-45-4-258443-0621-04