Denorex Severe Itch Shampoo
NDC Package 62673-175-10

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

Package Information

Denorex Severe Itch (coal tar) shampoos is for best results, use at least twice a week or as directed by a doctorshake well before useapply to wet hairmassage into scalp, leave lather on for several minutesrinse thoroughly and repeat for maximum relief. This formulation utilizes a shampoo delivery system. Marketed by Neoteric Cosmetics, Inc., this product is identified by NDC 62673-175 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
62673-175-10
Package Description
296 mL in 1 BOTTLE
Product Code
62673-175
11-Digit Billing Format
62673017510

Clinical Specifications

Proprietary Name
Denorex Severe Itch
Non-Proprietary Name
Coal Tar
Substance Name
Coal Tar
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)
COAL TAR .018 g/mL
Usage Information
For best results, use at least twice a week or as directed by a doctorshake well before useapply to wet hairmassage into scalp, leave lather on for several minutesrinse thoroughly and repeat for maximum relief

Regulatory & Marketing

Labeler Name
Neoteric Cosmetics, Inc.
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-13-2017
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 62673-175-10 identifies a specific commercial package of 296 ml in 1 bottle of Denorex Severe Itch, a human over the counter drug labeled by Neoteric Cosmetics, Inc.. This shampoo is formulated for topical use and contains coal tar 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 Neoteric Cosmetics, Inc. on December 13, 2017. The current certification is valid through December 31, 2026.

How is this Neoteric Cosmetics, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 62673017510. 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 (5-3-2)
62673-175-10
11-Digit CMS (5-4-2)
62673-0175-10

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