Selenium Sulfide
NDC Package 65255-409-03

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 inactivated by the FDA.

Selenium Sulfide is a medication used to treat dandruff and a certain scalp infection (seborrheic dermatitis). Marketed by Sonar Products, Inc, this product is identified by NDC 65255-409 and is authorized under FDA application part358H.

Identification & Billing

NDC Package Code
65255-409-03
Package Description
325 mL in 1 BOTTLE
Product Code
65255-409
11-Digit Billing Format
65255040903
RxNorm Crosswalk

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
Sonar Products, Inc
FDA Application #
part358H
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
02-08-2012
Listing Expiration
12-31-2017
Exclude Flag
I
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 65255-409-03 identifies a specific commercial package of 325 ml in 1 bottle of Selenium Sulfide, labeled by Sonar Products, Inc. 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 Sonar Products, Inc on February 08, 2012. The current certification is valid through December 31, 2017.

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 Sonar Products, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 65255040903. 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)
65255-409-03
11-Digit CMS (5-4-2)
65255-0409-03

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