Probliva Folliculitis .shampoo. Shampoo
NDC Package 85464-006-01

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

Package Information

Probliva Folliculitis .shampoo. (seleniumdisulfide 1%) shampoos is wet hair and scalp thoroughlyMassage a small amount into the scalp, leave 2-3 minutes, then rinseFor best results use at least twice a week or as directed by a doctor. This formulation utilizes a shampoo delivery system. Marketed by Cavtech Holding Llc, this product is identified by NDC 85464-006 and is authorized under FDA application M032.

Identification & Billing

NDC Package Code
85464-006-01
Package Description
300 g in 1 CARTON
Product Code
85464-006
11-Digit Billing Format
85464000601
RxNorm Crosswalk
  • RxCUI: 2743372 - salicylic acid 2 % / selenium sulfide 1 % Medicated Shampoo
  • RxCUI: 2743372 - salicylic acid 20 MG/ML / selenium sulfide 10 MG/ML Medicated Shampoo

Clinical Specifications

Proprietary Name
Probliva Folliculitis .shampoo.
Non-Proprietary Name
Seleniumdisulfide 1%
Substance Name
Salicylic Acid; Selenium Sulfide
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)
Usage Information
Wet hair and scalp thoroughlyMassage a small amount into the scalp, leave 2-3 minutes, then rinseFor best results use at least twice a week or as directed by a doctor

Regulatory & Marketing

Labeler Name
Cavtech Holding Llc
Product Type
Human Otc Drug
FDA Application #
M032
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-15-2026
Listing Expiration
12-31-2027
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 85464-006-01 identifies a specific commercial package of 300 g in 1 carton of Probliva Folliculitis .shampoo., a human over the counter drug labeled by Cavtech Holding Llc. This shampoo is formulated for topical use and contains salicylic acid; selenium sulfide 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 Cavtech Holding Llc on May 15, 2026. The current certification is valid through December 31, 2027.

How is this Cavtech Holding Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 85464000601. 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)
85464-006-01
11-Digit CMS (5-4-2)
85464-0006-01

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