J1003005 Jason Dandruff Relief Shampoo
NDC Package 61995-0030-8

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

Package Information

J1003005 Jason Dandruff Relief (sulfur, salicylic acid) shampoos is controls recurrence of flaking, scaling and itching associated with dandruffHelps prevent seborrheic dermatitis. This formulation utilizes a shampoo delivery system. Marketed by The Hain Celestial Group, Inc., this product is identified by NDC 61995-0030 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
61995-0030-8
Package Description
355 g in 1 BOTTLE
Product Code
61995-0030
11-Digit Billing Format
61995003008
RxNorm Crosswalk
  • RxCUI: 1995471 - salicylic acid 2.2 % / sulfur 2.4 % Medicated Shampoo
  • RxCUI: 1995471 - salicylic acid 22 MG/ML / sulfur 24 MG/ML Medicated Shampoo

Clinical Specifications

Proprietary Name
J1003005 Jason Dandruff Relief
Non-Proprietary Name
Sulfur, Salicylic Acid
Substance Name
Salicylic Acid; Sulfur
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)
Usage Information
Controls recurrence of flaking, scaling and itching associated with dandruffHelps prevent seborrheic dermatitis

Regulatory & Marketing

Labeler Name
The Hain Celestial Group, Inc.
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
11-27-2017
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 61995-0030-8 identifies a specific commercial package of 355 g in 1 bottle of J1003005 Jason Dandruff Relief, a human over the counter drug labeled by The Hain Celestial Group, Inc.. This shampoo is formulated for topical use and contains salicylic acid; sulfur 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 The Hain Celestial Group, Inc. on November 27, 2017. The current certification is valid through December 31, 2026.

How is this The Hain Celestial Group, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 61995003008. 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 (5-4-1)
61995-0030-8
11-Digit CMS (5-4-2)
61995-0030-08

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