Pete And Pedro Control Anti Itch Dandruff Shampoo
NDC Package 84503-508-00

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

Package Information

Pete And Pedro Control Anti Itch Dandruff (coal tar) shampoos is apply to affected areas one to four times daily or as directed by a doctor. This formulation utilizes a shampoo delivery system. Marketed by Pete And Pedro Llc, this product is identified by NDC 84503-508 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
84503-508-00
Package Description
236 mL in 1 BOTTLE
Product Code
84503-508
11-Digit Billing Format
84503050800
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Pete And Pedro Control Anti Itch Dandruff
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 62.5 mg/mL
Usage Information
Apply to affected areas one to four times daily or as directed by a doctor.

Regulatory & Marketing

Labeler Name
Pete And Pedro Llc
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-25-2024
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 84503-508-00 identifies a specific commercial package of 236 ml in 1 bottle of Pete And Pedro Control Anti Itch Dandruff, a human over the counter drug labeled by Pete And Pedro Llc. 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 Pete And Pedro Llc on June 25, 2024. The current certification is valid through December 31, 2026.

How is this Pete And Pedro Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 84503050800. 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)
84503-508-00
11-Digit CMS (5-4-2)
84503-0508-00

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