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DHS SAL 4 oz. .035 g/g Shampoo, 123.84 g — NDC 00096-0738-04 package photo
Label image from the product's FDA listing (DailyMed) — may show a different pack size or an older label revision.

DHS SAL 4 oz. .035 g/g Shampoo, 123.84 g — NDC 0096-0738-04 (Billing 00096-0738-04)

by Person and Covey · 123.84 g in 1 BOTTLE

This is a package of 123.84 g of DHS SAL 4 oz. .035 g/g Shampoo from Person and Covey, marketed since Jun 1995 and currently FDA-listed. It is this product's only package size.

NDC 00096-0738-04
🏷️ FDA NDC (as labeled) 0096-0738-04 billing pads the labeler segment with a zero
OTC On market Non-controlled ⇄ Compare with another NDC
🗂️ FDA directory synced Oct 1, 2026 · this listing last changed Jul 24, 2026 · sources: openFDA · FDA label (DailyMed) · FDA Orange & Purple Book · First Databank · CMS NADAC, ASP, Medicare & Medicaid · RxNorm
📋 All sources & update times →

This page is curated, coded, and maintained by

Compiled from public FDA, CMS, DailyMed, NADAC, and related drug data sources. Editorial policy

Identity & classification

Regulatory identifiers FDA, NLM and CMS codes for this package

FDA NDC (as labeled) 0096-0738-04
Product NDC 0096-0738
11-digit billing NDC 00096073804
NCPDP billing unit ML — per mL (volume)
RxCUI 205023, 212318
UNII O414PZ4LPZ
Application # M032
SPL Set ID 62e13b0d-2455-46c2-bff3-1aa88b092327
DEA schedule Non-controlled
Marketing category OTC MONOGRAPH DRUG
Marketing status On market
FDA listing status Listed (active directory)
Marketing start 1995-06-01
Route TOPICAL
Dosage form SHAMPOO
Substance SALICYLIC ACID

Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification

GPI-14 90750030004515
GPI class DHS Sal
GCN Seq No 016173
GCN 22824
HICL code 002465
Ingredient (HICL) Salicylic Acid
HIC1 code L
Therapeutic class — broad (HIC1) Skin/Subcutaneous Tissue
HIC2 code L5
Therapeutic class — intermediate (HIC2) Keratolytics/Keratoplastics
HIC3 code L5A
Therapeutic class — specific (HIC3) Keratolytics
AHFS code 84:28.00.00
AHFS class Keratolytic Agents
FDB label name DHS SAL 3% SHAMPOO
FDB brand name Dhs Sal
Legend status O — Over-the-counter (OTC) drug or device
Quick answers
  • GSN (GCN sequence number): 016173
  • GCN: 22824
  • GPI-14 (Medi-Span): 90750030004515
  • HICL (First Databank): 002465
  • AHFS class code: 84:28.00.00
  • RxCUI (RxNorm): 205023
Why two NDCs? The FDA registers this code as 0096-0738-04 — a 4-4-2 layout, and that's what's printed on the package and shown on DailyMed. For insurance claims, every NDC is standardized to a uniform 11-digit 5-4-2 format by adding a zero to the labeler segment → 00096-0738-04. Same drug, same package — only the format differs.
Where does this data come from?
Identifiers from the FDA openFDA NDC Directory and Structured Product Labeling; RxCUI from RxNorm (NLM); GPI from Medi-Span; GCN / HIC / AHFS / legend from First Databank.

RxNorm drug class

This medicine belongs to the Salicylic acid and derivatives class.

Drug family (ATC) Salicylic acid and derivatives, Other antifungals for topical use, Antiinflammatory agents, non-steroids
Where does this data come from?
Therapeutic classes from RxNorm RxClass (U.S. National Library of Medicine) — Established Pharmacologic Class (FDA), ATC drug family (WHO) and mechanism of action, matched by this product’s RxCUI.

Clinical

Label name DHS SAL 3% SHAMPOO Ingredient Salicylic Acid
📗 Our plain-language guide HelloPharmacist
  • It is used in a facial routine for acne-prone and oil-prone skin. The routine includes a cleanser, serum, toner and emulsion. Salicylic acid helps loosen and shed dead skin cells.
  • Use the cleanser morning and evening, and the serum in the morning after cleansing. Use the toner in the evening on dry skin, and the emulsion at night after cleansing. Avoid your...
  • Mild stinging, burning, itching, dryness and extra peeling can happen. If dryness or peeling bothers you, try using the serum or toner every other day. If it gets excessive, stop a...
  • It is best not to. Using another topical acne medication at the same time makes irritation and dryness more likely. If you get irritated, use only one at a time.
📖 Read our full Salicylic Acid Topical guide →

Supplement & herbal interactions

🌿 Drug–supplement interaction checker →
Where does this data come from?
Plain-language summary from MedlinePlus (U.S. National Library of Medicine); supplement & herbal interactions and nutrient depletion data from the Natural Medicines database; our full guide is HelloPharmacist editorial content.

Pricing

A drug doesn't have one price. Each row is a different public payment system, and none is what you'd pay at the counter — that depends on your insurance. The ⓘ on each row explains what it measures.

Price systemPer gPer package
Retail pharmacies payNADAC · weekly Not in the retail survey — common for institutional, discontinued, or low-volume packs.
Medicaid paysCMS SDUD · 12 mo $0.0688 $8.52 / 123.84 g
Medicare drug plans payPart D · quarterly No Part D plan price is available for this NDC in our data.
Where does this data come from?
NADAC (National Average Drug Acquisition Cost) is the CMS weekly pharmacy-acquisition-cost survey — what pharmacies pay. ASP (Average Sales Price) is the CMS Medicare Part B drug-payment file, published quarterly. Medicaid pays is computed by us from CMS State Drug Utilization Data (total reimbursed ÷ units, trailing 12 months) — gross of rebates and inclusive of dispensing fees, so it reflects what Medicaid paid, not an acquisition cost. Medicare drug plans pay is the median negotiated point-of-sale unit cost across plans listing this NDC in the CMS quarterly Prescription Drug Plan pricing files, before rebates. The VA pays is the federal contract price (FSS, and the statutory Big 4 ceiling where listed) from the VA National Acquisition Center pharmaceutical price file. All are free public government data; each measures a different payer, so the figures are not directly comparable.

Packaging — all sizes for this product

Package NDCDescription Marketing startMarketing endStatus
00096-0738-04 You're viewing this Main listing 123.84 g in 1 BOTTLE 1995-06-01 — Active

Therapeutic equivalents

ProductLabelerPackNADAC/unitTEStatusPrice vs. this
Leader Therapeutic Dandruff Anti-Dandruff, anti-seborrheic dematitis and anti-psoriasis 30 mg/mL 70000-0550-01 Cardinal 133 ml $0.022 — Availability likely —
DHS SAL 4 oz. .035 g/gthis 00096-0738-04 Person 123.84 g — — FDA listed —
Dhs Sal 30 mg/mL 00096-0812-04 Person 120 ml — — FDA listed —
Walgreens Tplus Salicylic Acid Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis 30 mg/mL 00363-2735-01 Walgreen 133 ml — — FDA listed —
Walgreens Dandruff Itchy Dry Scalp Defense Plus Vitamins and Botanicals Anti-dandruff 30 mg/mL 00363-4137-01 Walgreen 325 ml — — FDA listed —
Walgreens 30 mg/mL 00363-9536-07 Walgreens 207 ml — — FDA listed —
Walgreens 30 mg/mL 00363-9537-11 Walgreens 325 ml — — FDA listed —
TriDerma Itchy Scalp 3 g/100g 10738-0045-23 Genuine 370 g — — FDA listed —
TRIDERMA Psoriasis Control 3 g/100mL 10738-0980-50 Genuine 1 tube — — FDA listed —
Selsun Blue Naturals Itchy, Dry Scalp .03 g/mL 41167-6180-03 Chattem, 325 ml — — FDA listed —
Dr. Groot Anti-dandruff Scalp Care 30 mg/mL 43136-0701-01 TAI 300 ml — — FDA listed —
Dr. Groot Anti-dandruff Scalp Care 2 in 1 30 mg/mL 43136-0702-01 TAI 300 ml — — FDA listed —
CVS Health MAXIMUM STRENGTH Therapeutic Dandruff Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis 30 mg/mL 51316-0443-01 CVS 1 bottle — — FDA listed —
Dr. Groot Anti-dandruff Scalp Care 30 mg/mL 53208-0901-36 LG 300 ml — — FDA listed —
Dr. Groot Anti-dandruff Scalp Care 2 in 1 30 mg/mL 53208-0902-36 LG 300 ml — — FDA listed —
Nizoral Psoriasis 3 g/100mL 55505-0202-64 Kramer 1 bottle — — FDA listed —
XtraCare Dandruff Hair Wash 10 g/325g 57337-0053-01 Rejoice 325 g — — FDA listed —
Cantu Guava Ginger Anti Dandruff .03 g/mL 61012-0740-13 PDC 400 ml — — FDA listed —
Denorex Extra Strength .03 g/mL 62673-0059-10 Neoteric 296 ml — — FDA listed —
Denorex Multi-Symptom Anti-Dandruff .03 g/mL 62673-0060-10 Neoteric 296 ml — — FDA listed —
Dermarest Psoriasis Medicated 3 g/100mL 63736-0302-24 Insight 1 bottle — — FDA listed —
bhs beautiful hair and scalp 3 g/100mL 64942-1973-01 Conopco, 400 ml — — FDA listed —
bhs beautiful hair and scalp 3 g/100mL 64942-2063-01 Conopco, 400 ml — — FDA listed —
Therapeutic TPlus Salicylic Acid Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis 30 mg/mL 67385-0512-01 Garcoa, 133 ml — — FDA listed —
MG217 Psoriasis Therapeutic Conditioner .03 g/g 68093-7242-01 Wisconsin 1 bottle — — FDA listed —
Neutrogena T/Sal Therapeutic 30 mg/mL 69968-0434-01 Kenvue 12 bottles — — FDA listed —
Neutrogena Scalp Therapy Anti-Dandruff Extra Strength 30 mg/mL 69968-0723-01 Kenvue 354 ml — — FDA listed —
NTG T/Sal 3% Salicylic Acid Anti-Dandruff for Scalp Build Up Control 30 mg/mL 69968-0938-08 Kenvue 1 bottle — — FDA listed —
Neutrogena T/Sal Plus 3% Salicylic Acid Anti-Dandruff for Dry, Itchy Scalp Control 30 mg/mL 69968-0939-08 Kenvue 1 bottle — — FDA listed —
Dermaharmony Unscented Bar 3 g/100g 71819-0020-04 D3 113 g — — FDA listed —
Kenkoderm Psoriasis 3 g/100mL 73632-0003-01 Olympus 118 ml — — FDA listed —
Pert 2 in 1 Extra Strength 3 g/100mL 81277-0803-12 Sodalis 355 ml — — FDA listed —
upandup Anti-dandruff with Salicylic Acid Anti-dandruff, anti-seborrheic dermatitis, anti-psoriasis 30 mg/mL 82442-0743-01 TARGET 355 ml — — FDA listed —
HAIRCARE Physicians Recommended 30 mg/mL 82499-0267-00 LAWRENCE 237 ml — — FDA listed —
Scalp Revival 3 g/100mL 82594-0001-50 Beccair, 248 ml — — FDA listed —
Neoketramin Antifungal Dandruff Seborrheic Dermatitis Psoriasis Treatment 3 g/100mL 83004-0019-01 Rida 1 tube — — Discontinued —
Quality Choice Therapeutic 3 g/100mL 83324-0295-45 Chain 1 bottle — — FDA listed —
Quality Choice Psoriasis 3 g/100mL 83324-0342-11 Chain 1 bottle — — FDA listed —
Dermoia Psoriasis Treatment Salicylic Acid 30 mg/mL 83524-0945-00 Treasurewise 355 ml — — FDA listed —
DermaSolve Medicated 3 g/100g 84285-0101-08 Fortitude 226 g — — FDA listed —
anti-dandruff 3 g/100mL 84558-0010-01 GUANGZHOU 300 ml — — FDA listed —
VERB PRODUCTS Balance Relief Salicylic Acid Dandruff Clinical Strength 30 mg/mL 84607-0545-00 Verb 235 ml — — FDA listed —
Shailee Psoriasis Treatment 3 g/100mL 84938-0008-01 Foshan 1 bottle — — FDA listed —
Pharmlitalia Psoriasis Treatment 3 g/100mL 84938-0019-01 Foshan 1 bottle — — FDA listed —
Listarfe Anti-Dandruff Shampoo. 3 g/100mL 85150-0005-01 Guangzhou 300 ml — — FDA listed —
Quality Choice Therapeutic 3 g/100mL 85161-0295-45 Longway 1 bottle — — FDA listed —
Quality Choice Psoriasis 3 g/100mL 85161-0342-11 Longway 1 bottle — — FDA listed —
Kenkoderm Psoriasis 3 g/100mL 85286-0003-01 Nexgel,Inc. 118 ml — — FDA listed —
RoyceDerm Seborrheic Dermatitis and Psoriasis shampoo. 7.5 g/250g 85424-0015-01 RoyceDerm 250 g — — FDA listed —
RoyceDerm Seborrheic Dermatitis and Psoriasis Shampoo. 7.5 g/250g 85424-0020-01 RoyceDerm 250 g — — FDA listed —
About this product: other versions of the same ingredient, strength and form are listed above, least expensive first, with FDA equivalence ratings where available.
Where does this data come from?
Equivalents are other NDCs of the same ingredient, form and route from the openFDA NDC Directory, ranked least-expensive-first by NADAC. Therapeutic-equivalence (AB) ratings come from the FDA Orange Book; biologics use the FDA Purple Book for biosimilar & interchangeable status.

Availability & generic status

🏛️
1995
On the market since
Jun 1995
📍
2026
Currently FDA-listed
31 years listed
🔒
·
No generic listed yet
brand only
ℹ️No FDA-approved generic found

We did not find an FDA-approved generic match for this exact strength, form and route.

Where does this data come from?
Patents and exclusivity from the FDA Orange Book (small-molecule drugs), refreshed from public FDA data. Generic launch timing is an estimate, not a guarantee.

Inactive Ingredients / Excipients

Inactive ingredients, also called excipients, are components of the drug product other than the active ingredient. They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients.

Loading inactive ingredients from the official FDA label in the background. No external source is being called by this page request.
Where does this data come from?
Source: official FDA Structured Product Labeling (SPL) via DailyMed and the openFDA label index. Structured IACT rows and label-wide narrative are kept separate; availability and product-level specificity depend on the submitted label.

Inactive ingredient FAQ

Are inactive ingredients the same for every manufacturer?
No. Inactive ingredients can differ by manufacturer, dosage form, strength, and package / product version.
Why might an inactive ingredient be missing?
Some SPLs do not provide a complete structured inactive-ingredient list, and older or unusual labels may only include the information in narrative text.
Can inactive ingredients matter?
Yes. They can matter for allergies, intolerances, dyes, gluten / lactose concerns, preservatives, and formulation differences — but confirm with a pharmacist or the manufacturer when it’s clinically important.

Manufacturer & labeler

LabelerPerson and Covey
FDA applicationM032 (OTC MONOGRAPH DRUG)
Labeler code00096
First marketedJun 1995
Product typeHuman Otc Drug
Portfolio23 products on file
The labeler markets the product; the application holder owns the FDA approval. They’re often the same company but can differ (e.g. a repackager or an authorized generic). A mailing address / phone appears here when the manufacturer includes it in the product’s FDA label (not all do).
Where does this data come from?
Labeler, application holder and registered establishment from the FDA openFDA NDC Directory and Drugs@FDA; address/contact from the product’s FDA label.

FDA label — Drug Facts FDA SPL

The complete FDA label for this product — the official Drug Facts labeling, verbatim, section by section. Jump with a chip, search within the label, or expand everything.
🎯 Indications and Usage ⏱️ Dosage and Administration ⚠️ Warnings 🧪 Active Ingredient 🧪 Inactive Ingredients 🎯 Purpose 📄 Keep Out of Reach of Children 📄 Package Label / Principal Display Panel
🎯 Indications and Usage 19 words ▾

Indications and Use Controls crusty, flaky buildup, while relieving scalp itching and flaking, symptomatic of Psoriasis and Seborrheic Dermatitis.

⏱️ Dosage and Administration 53 words ▾

Dosage and Administration Wet hair thoroughly. Apply a liberal amount of shampoo and massage into a rich lather. Allow lather to remain on scalp for several minutes. Rinse hair well and repeat application. For best results use at least twice a week or as directed by a physician. Store away from direct sunlight.

⚠️ Warnings 56 words ▾

WARNINGS AND PRECAUTIONS For external use only. Ask a physician before use if you have Psoriasis or Seborrheic Dermatitis that covers a large area of the body. Do not get into eyes. If contact occurs, rinse eyes thoroughly with water. Stop use and ask a physician if condition worsens or does not improve after regular use.

🧪 Active Ingredient 6 words ▾

Active Ingredient Salicylic Acid 35 mg/g

🧪 Inactive Ingredients 18 words ▾

INACTIVE INGREDIENTS Purified Water Sodium C14-16 Olefin Sulfonate Triethanolamine Lauryl Sulfate Cocamidopropyl Betaine Cocamidopropyl Hydroxysultaine PEG 8 Distearate

🎯 Purpose 9 words ▾

PURPOSE Controls symptoms of Psoriasis, Seborrheic Dermatitis and Dandruff

📄 Keep Out of Reach of Children 13 words ▾

If swallowed, get medical help or contact a Poison Control Center right away.

📄 Package Label / Principal Display Panel 7 words ▾

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL DHS Sal Shampoo

Source: FDA Structured Product Labeling, mirrored from DailyMed / openFDA. Prefer the government’s original formatting? View this label on DailyMed ↗

Medicaid utilization & spend

📍 This exact package only: Medicaid data is reported per full 11-digit NDC — labeler, product and pack size — so every number here is for this package alone, not the drug overall. Other pack sizes report separately.
💊 Pharmacy benefit only: These are Medicaid outpatient pharmacy claims, billed by NDC. They exclude the medical benefit — clinic- or hospital-administered drugs billed under HCPCS J-codes — so drugs used mostly that way (e.g. Avastin, Lucentis, Keytruda) can look low or missing here. That’s expected, not an error.
📅 Q1 2025 – Q1 2026 · 5 quarters of data
ⓘ The newest quarter is usually incomplete when first published; states restate recent quarters in later CMS releases, so the latest figures typically revise upward. State coverage-policy changes can also shift quarter-to-quarter totals.
Prescriptions last 4 qtrs
247
Units reimbursed last 4 qtrs
35.8K
Gross reimbursed last 4 qtrs
$2.5K
Avg / prescription
$9.96
Avg / unit
$0.0688
Latest quarter Q1 2026
27Rx
Fee-for-service vs managed care ⓘ
19% FFS 81% MCO
Fee-for-service · 48 Rx Managed care · 199 Rx
State Medicaid map
Alaska: no data reported AK Maine: no data reported ME Washington: no data reported WA Idaho: no data reported ID Montana: no data reported MT North Dakota: no data reported ND Minnesota: 4,658 units · 81.2 per 100k residents MN Wisconsin: no data reported WI Michigan: no data reported MI New York: no data reported NY Vermont: no data reported VT New Hampshire: no data reported NH Oregon: no data reported OR Nevada: no data reported NV Wyoming: no data reported WY South Dakota: no data reported SD Iowa: no data reported IA Illinois: no data reported IL Indiana: no data reported IN Ohio: 24,836 units · 211 per 100k residents OH Pennsylvania: 3,360 units · 25.9 per 100k residents PA New Jersey: no data reported NJ Massachusetts: no data reported MA California: no data reported CA Utah: no data reported UT Colorado: no data reported CO Nebraska: no data reported NE Missouri: no data reported MO Kentucky: 2,906 units · 64.2 per 100k residents KY West Virginia: no data reported WV Virginia: no data reported VA Maryland: no data reported MD Connecticut: no data reported CT Rhode Island: no data reported RI Arizona: no data reported AZ New Mexico: no data reported NM Kansas: no data reported KS Arkansas: no data reported AR Tennessee: no data reported TN North Carolina: no data reported NC South Carolina: no data reported SC Delaware: no data reported DE Oklahoma: no data reported OK Louisiana: no data reported LA Mississippi: no data reported MS Alabama: no data reported AL Georgia: no data reported GA D.C.: no data reported DC Hawaii: no data reported HI Texas: no data reported TX Florida: no data reported FL
Units reimbursed · per 100k residents
25.9211
gray = no data reported ⓘ
Colors are per 100,000 residents, so big states don’t automatically dominate. Tap or hover a state for its actual totals.
Tap or hover a state
…for its Medicaid breakdown
🏆 Top states by units · per 100k residents
1 Ohio 211 /100k
2 Minnesota 81.2 /100k
3 Kentucky 64.2 /100k
4 Pennsylvania 25.9 /100k
National units — by quarter
💵 About the dollar figures: “reimbursed” is what Medicaid paid pharmacies before confidential manufacturer rebates, so the program’s real net cost is lower than these numbers. Fee-for-service and managed-care claims are combined unless split above. Source: CMS State Drug Utilization Data; per-100k rates use 2023 Census population estimates.

Reported adverse events (FAERS)

Read carefully: FAERS reports are voluntary and unverified. Counts are not incidence, do not establish causation, are subject to reporting bias, and cannot be used to compare one drug to another. Shown for signal context only. Reports for DHS SAL 4 oz. (this brand).

Top reported reactions

Abdominal Pain1
Blood Glucose Increased1
Cellulitis1
Dermatitis Allergic1
Eye Abscess1
Genital Abscess1
Inflammation1

Reporter sex

3 reports
Female · 100%
Reports over time (by year) — tap or hover for the count & year
2020 2022 2024 2026 1 0
Most recent year is provisional (FAERS lags ~3 months).
Where does this data come from?
Adverse-event reports from the FDA Adverse Event Reporting System (FAERS) via openFDA. FAERS reports are voluntary and unverified — counts are not incidence and don’t establish causation.

About this NDC listing & data coverage

Over-the-counter (OTC) product
What data is (and isn’t) available for this NDC — tap to expand
NDC identity (package / product / labeler codes) ✓ Available
Labeler ✓ Available
Product & package description ✓ Available
Marketing category & status ✓ Available
Active ingredient / dosage form / route ✓ Available
FDA label (SPL via DailyMed) ✓ Available
Package photos ✓ Available
Inactive ingredients (structured) — Not published for this NDC The labeler did not submit a structured excipient list, or no SPL is available.
NADAC pharmacy acquisition price (CMS) — Not published for this NDC CMS publishes NADAC only for NDCs reported in its retail-pharmacy survey.
Orange Book / therapeutic-equivalence data — Not published for this NDC Applies only to products approved under an NDA/ANDA; many listings are out of scope.
HCPCS J-code billing crosswalk — Not published for this NDC Most self-administered / retail products have no J-code — that is normal.
Medicaid utilization (CMS SDUD) ✓ Available
“Not published” reflects what the public FDA / CMS / NLM sources provide for this exact package code — it is a property of the data feeds, not a judgment about the product.

Questions about this listing

Is this NDC FDA-approved?
An NDC listing does not by itself establish FDA approval — the NDC Directory records that a product is listed with FDA, not that it was reviewed and approved. This listing's marketing category is "Otc Monograph Drug". Products approved under an application carry an NDA, ANDA, or BLA number.
Why is there no price listed?
The pricing shown on our NDC pages comes from CMS NADAC, a voluntary survey of retail community pharmacy invoices. CMS does not publish a NADAC for every NDC — packages outside the retail survey (institutional and hospital products, bulk packages, discontinued items, and many OTC items) may never receive one. A missing price reflects the survey's scope, not this product's actual cost, and does not mean the product is free or unavailable.
Is the NDC printed on the package the same as the 11-digit billing NDC?
Yes, they identify this exact package in different formats. The form printed on the packaging and shown on DailyMed is the one the FDA registered. Insurance claims use a fixed 11-digit 5-4-2 format, so the short segment is padded with a leading zero and the dashes are dropped. The Identity section at the top of this page lists each form of this code.
Is this package still being marketed?
Yes, per the latest FDA NDC Directory data on this page: this package is listed as actively marketed, with no marketing end date reported by Person and Covey. Listing status can change — the directory data on this page refreshes weekly.
Who lists this product with the FDA?
Person and Covey is the labeler of record for this NDC — the company under whose FDA-assigned code the package is listed. The labeler may be the manufacturer itself or a distributor marketing the product under its own code.
Do I need a prescription for this product?
This NDC is listed with FDA as an over-the-counter product, so it does not require a prescription. Follow the package directions, and ask your pharmacist if you are unsure whether it is right for you.
This page identifies an FDA-listed package (the NDC) and reports public regulatory and pricing data about the listing. It is reference information, not a medical recommendation — talk to your pharmacist or prescriber about your own medication.
Where does this data come from?
Listing facts (marketing category, packager status, marketing dates) from the FDA openFDA NDC Directory; label availability from DailyMed; pricing coverage from CMS NADAC; equivalence scope from the FDA Orange Book.
← 00096-0737-04 · Person 00096-0741-04 · Person →
For educational and professional reference only — not medical advice. Pricing reflects published NADAC and CMS ASP (free public data) and may differ from your acquisition cost; always verify before billing or dispensing.