Mg217 Psoriasis Shampoo
NDC Package 68093-5206-1

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

Package Information

Mg217 Psoriasis (coal tar) shampoos is shake well before using.wet hair then massage liberal amount of MG217 into the scalp and leave on for several minutes. This formulation utilizes a shampoo delivery system. Marketed by Wisconsin Pharmacal Company, this product is identified by NDC 68093-5206 and is authorized under FDA application part358H.

Identification & Billing

NDC Package Code
68093-5206-1
Package Description
1 BOTTLE in 1 CARTON / 120 g in 1 BOTTLE
Product Code
68093-5206
11-Digit Billing Format
68093520601
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Mg217 Psoriasis Therapeutic Scalp Treatment
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 .03 g/g
Usage Information
Shake well before using.wet hair then massage liberal amount of MG217 into the scalp and leave on for several minutes. Rinse thoroughly.for best results, use at least twice a week or as directed by a physician.

Regulatory & Marketing

Labeler Name
Wisconsin Pharmacal Company
Product Type
Human Otc Drug
FDA Application #
part358H
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
07-01-2014
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 68093-5206-1 identifies a specific commercial package of 1 bottle in 1 carton / 120 g in 1 bottle of Mg217 Psoriasis Therapeutic Scalp Treatment, a human over the counter drug labeled by Wisconsin Pharmacal Company. 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 Wisconsin Pharmacal Company on July 01, 2014. The current certification is valid through December 31, 2026.

How is this Wisconsin Pharmacal Company product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68093520601. 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)
68093-5206-1
11-Digit CMS (5-4-2)
68093-5206-01

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