Selenium Sulfide
NDC Package 63629-2002-1

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was discontinued by the firm.

Selenium Sulfide is a medication used to treat dandruff and a certain scalp infection (seborrheic dermatitis). Marketed by Bryant Ranch Prepack, this product is identified by NDC 63629-2002.

Identification & Billing

NDC Package Code
63629-2002-1
Package Description
180 mL in 1 BOTTLE
Product Code
63629-2002
11-Digit Billing Format
63629200201
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
Units Per Package
180 ML

Clinical Specifications

Proprietary Name
Selenium Sulfide
Dosage Form
-
Usage Information
This medication is used to treat dandruff and a certain scalp infection (seborrheic dermatitis). It reduces itching, flaking, irritation, and redness of the scalp. Selenium sulfide is also used for a condition that causes discoloration of the skin (tinea versicolor). This medication belongs to a class of medications called anti-infectives. It works by slowing the growth of the yeast that causes the infection.

Regulatory & Marketing

Labeler Name
Bryant Ranch Prepack
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-20-2018
End Marketing Date
06-09-2022
Listing Expiration
06-09-2022
Exclude Flag
D
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 63629-2002-1 identifies a specific commercial package of 180 ml in 1 bottle of Selenium Sulfide, labeled by Bryant Ranch Prepack. This product is billed per "ML" milliliter and contains an estimated amount of 180 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Bryant Ranch Prepack on April 20, 2018. The current certification is valid through June 09, 2022.

What are the primary indications for this medication?

This medication is used to treat dandruff and a certain scalp infection (seborrheic dermatitis). It reduces itching, flaking, irritation, and redness of the scalp. Selenium sulfide is also used for a condition that causes discoloration of the skin (tinea versicolor). This medication belongs to a class of medications called anti-infectives. It works by slowing the growth of the yeast that causes the infection.

How is this Bryant Ranch Prepack product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63629200201. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. There are 180 total billable units per package. 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)
63629-2002-1
11-Digit CMS (5-4-2)
63629-2002-01

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