Minoxidil Topical
NDC Package 83717-004-01

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.

Minoxidil Topical is apply 1ml(5 Sprays) twice a day.Once in the morning and another time in the evening before bed.Spray directly on top of the scalp in the area to be treated.Discontinuing use may result in hair loss. Marketed by Wenchang Panzhijie Trading Co., Ltd., this product is identified by NDC 83717-004 and is authorized under FDA application ANDA209074.

Identification & Billing

NDC Package Code
83717-004-01
Package Description
60 mL in 1 BOTTLE
Product Code
83717-004
11-Digit Billing Format
83717000401
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Minoxidil Topical
Dosage Form
-
Usage Information
Apply 1ml(5 Sprays) twice a day.Once in the morning and another time in the evening before bed.Spray directly on top of the scalp in the area to be treated.Discontinuing use may result in hair loss.

Regulatory & Marketing

Labeler Name
Wenchang Panzhijie Trading Co., Ltd.
FDA Application #
ANDA209074
Marketing Category
ANDA - A product marketed under an approved Abbreviated New Drug Application.
Start Marketing Date
08-24-2024
Listing Expiration
12-31-2025
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 83717-004-01 identifies a specific commercial package of 60 ml in 1 bottle of Minoxidil Topical, labeled by Wenchang Panzhijie Trading Co., Ltd.. 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 Wenchang Panzhijie Trading Co., Ltd. on August 24, 2024. The current certification is valid through December 31, 2025.

How is this Wenchang Panzhijie Trading Co., Ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 83717000401. 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)
83717-004-01
11-Digit CMS (5-4-2)
83717-0004-01

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