Pharmlitalia Jock Itch Miconazole Nitrate
NDC Package 83004-031-01

11-digit billing NDC: 83004003101
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.

Pharmlitalia Jock Itch Miconazole Nitrate is adults and children 12 years and over: • Wash affected area and dry thoroughly. Marketed by Rida Llc, this product is identified by NDC 83004-031 and is authorized under FDA application M005.

Identification & Billing

NDC Package Code
83004-031-01
Package Description
1 JAR in 1 BOX / 120 mL in 1 JAR
Product Code
83004-031
11-Digit Billing Format
83004003101

Clinical Specifications

Proprietary Name
Pharmlitalia Jock Itch Miconazole Nitrate
Dosage Form
-
Usage Information
Adults and children 12 years and over: • Wash affected area and dry thoroughly. • Apply a thin layer over affected area twice daily (morning and night). • Supervise children in use of this product. • Use daily for 2 weeks. • If condition persists longer, ask a doctor. • This product is not effective on the scalp or nails. • Wash hands after each use. • Children under 12 years: ask a doctor.

Regulatory & Marketing

Labeler Name
Rida Llc
FDA Application #
M005
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-14-2026
End Marketing Date
06-30-2026
Listing Expiration
06-30-2026
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 83004-031-01 identifies a specific commercial package of 1 jar in 1 box / 120 ml in 1 jar of Pharmlitalia Jock Itch Miconazole Nitrate, labeled by Rida Llc. 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 Rida Llc on January 14, 2026. The current certification is valid through June 30, 2026.

How is this Rida Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83004003101. 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)
83004-031-01
11-Digit CMS (5-4-2)
83004-0031-01

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