Signature Care Hemorrhoidal cocoa butter, phenylephrine HCl 2211 mg; 6.5 mg Suppository, 12 suppositories — NDC 21130-628-53 (Billing 21130-0628-53)
This is a package of 12 suppositories of Signature Care Hemorrhoidal cocoa butter, phenylephrine HCl 2211 mg; 6.5 mg Suppository from Safeway, no longer marketed (first marketed Nov 2015), no longer in the FDA NDC Directory. It is the main listing for this product, which comes in 2 package sizes.
NDC database record
One package, one record: these facts belong to NDC 21130-628-53 alone.
- Record
- FDA NDC Directory package listing · Human OTC drug
- Code segments
- 21130 labeler · 628 product · 53 package
- Listing certified through
- Dec 31, 2026
- Barcode (UPC-A, from the NDC)
- 3 2113062853 8
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
- RxCUI (RxNorm): 1438497
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
Clinical
This is an over-the-counter hemorrhoidal suppository marketed under FDA's monograph rules for this product category. It contains cocoa butter, a lubricating and soothing base ingredient commonly used in rectal products, and phenylephrine hydrochloride, a decongestant typically used to reduce swelling and shrink blood vessels in the affected area. The suppository is inserted rectally and is intended for temporary relief of hemorrhoid-related discomfort.
Patient education
Supplement & herbal interactions
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 3, 2026
Ask a licensed pharmacist directly — free, answered by our team.
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 system | Per each | Per package |
|---|---|---|
| Retail pharmacies payNADAC · weekly | Not in the retail survey — common for institutional, discontinued, or low-volume packs. | |
| Medicaid paysCMS SDUD · 12 mo | No recent Medicaid claims on file for this NDC — rare and low-volume NDCs are suppressed in the public data. | |
| 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?
- CMS NADAC weekly file
- CMS ASP pricing files · refreshed Sep 20, 2026
- CMS Medicaid State Drug Utilization Data · refreshed Oct 4, 2026
- CMS Part D plan pricing files · refreshed Sep 24, 2026
- VA National Acquisition Center price file
Packaging — all sizes for this product
| Package NDC | Description | Marketing start | Marketing end | Status |
|---|---|---|---|---|
| 21130-0628-53 You're viewing this Main listing | 12 BLISTER PACK in 1 CARTON / 1 SUPPOSITORY in 1 BLISTER PACK | 2015-11-03 | — | Discontinued by firm |
| 21130-0628-62 21130-628-62 | 24 BLISTER PACK in 1 CARTON / 1 SUPPOSITORY in 1 BLISTER PACK | 2015-11-03 | — | Active |
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 21130-0628-62?
What NDC number is used to bill for this package of Signature Care Hemorrhoidal cocoa butter, phenylephrine HCl 2211 mg; 6.5 mg Suppository?
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Good Sense Hemorrhoidal 2211 mg/1; 6.5 mg 00113-0279-53 | L. | 12 suppositories | $0.288 | — | Availability likely | — |
| rugby hemorrhoidal 2211 mg/1; 6.5 mg 00536-1186-12 | Rugby | 12 suppositories | $0.288 | — | Availability likely | — |
| Hemorrhoidal 2.39 g/1; 6.75 mg 46122-0777-65 | Amerisourcebergen | 12 suppositories | $0.288 | — | Availability likely | — |
| Leader Hemorrhoidal 2211 mg/1; 6.5 mg 70000-0223-01 | Cardinal | 12 suppositories | $0.288 | — | Availability likely | — |
| foster and thrive hemorrhoidal 2211 mg/1; 6.5 mg 70677-1292-01 | Strategic | 12 suppositories | $0.288 | — | Availability likely | — |
| Walgreens Hemorrhoidal 2211 mg/1; 6.25 mg 00363-0476-24 | Walgreens | 24 suppositories | — | — | FDA listed | — |
| Preparation H 00573-2884-12 | Haleon | 12 suppositories | — | — | FDA listed | — |
| hemorrhoidal relief 2211 mg/1; 6.5 mg 11822-0005-01 | Rite | 12 suppositories | — | — | FDA listed | — |
| Hemorrhoidal cocoa butter 2.5 mg/g; 884.4 mg/g 13709-0323-01 | NeilMed | 24 capsules | — | — | FDA listed | — |
| Signature Care Hemorrhoidal 2211 mg/1; 6.5 mgthis 21130-0628-53 | Safeway | 12 suppositories | — | — | Discontinued | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 30142-0279-62 | Kroger | 24 suppositories | — | — | FDA listed | — |
| topcare hemorrhoidal 2211 mg/1; 6.5 mg 36800-0279-53 | Topco | 12 suppositories | — | — | FDA listed | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 37808-0279-62 | H | 24 suppositories | — | — | FDA listed | — |
| Equaline Hemorrhoidal 2211 mg/1; 6.5 mg 41163-0279-53 | United | 12 suppositories | — | — | FDA listed | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 41250-0279-62 | Meijer | 24 suppositories | — | — | FDA listed | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 42507-0279-53 | HyVee | 12 suppositories | — | — | FDA listed | — |
| equate hemorrhoidal 2211 mg/1; 6.5 mg 49035-0463-62 | Wal-Mart | 24 suppositories | — | — | FDA listed | — |
| Exchange Select Hemorrhoidal 2211 mg/1; 6.5 mg 55301-0279-62 | Army | 24 suppositories | — | — | FDA listed | — |
| rexall hemorrhoidal 2211 mg/1; 6.5 mg 55910-0279-53 | Dolgencorp | 12 suppositories | — | — | FDA listed | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 56062-0279-53 | Publix | 12 suppositories | — | — | FDA listed | — |
| Xyralid Hemorrhoidal 88.5 g/100g; .26 g/100g 57483-0410-13 | Innovus | 24 g | — | — | FDA listed | — |
| hemorrhoidal 2211 mg/1; 6.5 mg 59779-0279-53 | CVS | 12 suppositories | — | — | FDA listed | — |
| Hemorrhoidal 1768.8 mg/1; 5 mg 70795-1021-02 | GRAXCELL | 12 suppositories | — | — | FDA listed | — |
| basic care hemorrhoidal 2211 mg/1; 6.5 mg 72288-0800-62 | Amazon.com | 24 suppositories | — | — | FDA listed | — |
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA Orange Book · refreshed Oct 3, 2026
- CMS NADAC weekly file
Availability & generic status
We did not find an FDA-approved generic match for this exact strength, form and route.
Where does this data come from?
- FDA Orange Book · refreshed Oct 3, 2026
What it looks like
Where does this data come from?
- FDA label on DailyMed · label index refreshed Oct 3, 2026
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.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
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UNII A2I8C7HI9T
Methylparaben is a preservative derived from benzoic acid that prevents growth of bacteria, fungi, and mold in medicines. It extends the product's shelf life and maintains safety during storage.
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UNII Z8IX2SC1OH
Propylparaben is a chemical preservative used to prevent bacterial and fungal growth in medicines and personal care products. It helps extend shelf life and maintain product safety during storage.
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UNII O8232NY3SJ
A plant-based carbohydrate derived from corn kernels. It acts as a filler to add bulk, a binder to hold ingredients together, and a disintegrant to help the tablet break apart in your stomach for absorption.
3 inactive ingredients listed in the exact product block matched to this NDC.
Label-section wording can be broader than the structured product block and may mention additional formulation ingredients.
Where does this data come from?
ingredient classCode="IACT" elements from the exact product block matched by this NDC. Label-section narrative from DailyMed / the openFDA label index is shown separately when available.- FDA label on DailyMed · label index refreshed Oct 3, 2026
- FDA openFDA NDC Directory · synced Oct 1, 2026
Inactive ingredient FAQ
Are inactive ingredients the same for every manufacturer?
Why might an inactive ingredient be missing?
Can inactive ingredients matter?
Manufacturer & labeler
More NDCs from Safeway labeler code 21130
- Acid Reducer Complete famotidine, calcium carbonate and magnesium hydroxide 10 mg; 800 mg; 165 mg Tablet, Chewable NDC 21130-614-63
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- 4x Medicated Gum Cream Benzocaine .13 g/100g; .25 g/100g; 20 g/100g; .15 g/100g Cream NDC 21130-621-19
- Ibuprofen PM diphenhydramine citrate, 38 mg; 200 mg Tablet, Film Coated NDC 21130-623-76
- Stomach Relief Regular Strength Bismuth subsalicylate 525 mg/30mL Liquid NDC 21130-624-08
- Sinus PE Head Congestion and Mucus Acetaminophen, Guaifenesin, Phenylephrine HCl 325 mg; 200 mg; 5 mg Tablet, Film Coated NDC 21130-627-08
- Antacid Plus aluminum hydroxide, magnesium hydroxide, dimethicone 400 mg/10mL; 400 mg/10mL; 40 mg/10mL Liquid NDC 21130-629-12
- Nicotine 4 mg Lozenge NDC 21130-636-05
- CLEARLAX Polyethylene Glycol 3350 3350 17 g/17g Powder, For Solution NDC 21130-637-02
- Naproxen Sodium PM diphenhydramine hydrochloride, 25 mg; 220 mg Tablet, Film Coated NDC 21130-639-71
- Cetirizine Hydrochloride 10 mg Tablet NDC 21130-640-03
- signature care allergy relief d cetirizine hydrochloride, pseudoephedrine hydrochloride 5 mg; 120 mg Tablet, Film Coated, Extended Release NDC 21130-644-62
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
FDA label — Drug Facts FDA SPL
🎯 Indications and Usage ▾
Uses • helps relieve the local itching and discomfort associated with hemorrhoids • temporarily relieves burning and shrinks hemorrhoidal tissue • temporarily provides a coating for relief of anorectal discomforts • temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful
⏱️ Dosage and Administration ▾
Directions • adults: when practical, cleanse the affected area by patting or blotting with an appropriate cleansing wipe. Gently dry by patting or blotting with a tissue or a soft cloth before insertion of this product. • detach one suppository from the strip; remove the foil wrapper before inserting into the rectum as follows: • hold suppository with rounded end up • see illustrations: carefully separate foil tabs by inserting tip of fingernail at end marked “peel down” • slowly and evenly peel apart (do not tear) foil by pulling tabs down both sides, to expose the suppository • remove exposed suppository from wrapper • insert one suppository into the rectum up to 4 times daily, especially at night, in the morning or after each bowel movement • children under 12 years of age: ask a doctor Other information • store at 20-25°C (68-77°F)
⚠️ Warnings ▾
Warnings For rectal use only Ask a doctor before use if you have • heart disease • high blood pressure • thyroid disease • diabetes • difficulty in urination due to enlargement of the prostate gland Ask a doctor or pharmacist before use if you are presently taking a prescription drug for high blood pressure or depression. When using this product do not exceed the recommended daily dosage unless directed by a doctor Stop use and ask a doctor if • bleeding occurs • condition worsens or does not improve within 7 days If pregnant or breast feeding, ask a health professional before use.
📦 Storage and Handling ▾
Other information • store at 20-25°C (68-77°F)
🧪 Active Ingredient ▾
Active ingredients (in each suppository) Cocoa butter 88.44% Phenylephrine HCl 0.25%
🧪 Inactive Ingredients ▾
Inactive ingredients methylparaben, propylparaben, topical starch Questions or comments? 1-888-723-3929
🎯 Purpose ▾
Purposes Protectant Vasoconstrictor
📄 Ask a Doctor Before Use If ▾
Ask a doctor before use if you have • heart disease • high blood pressure • thyroid disease • diabetes • difficulty in urination due to enlargement of the prostate gland
📄 Ask a Doctor or Pharmacist Before Use If ▾
Ask a doctor or pharmacist before use if you are presently taking a prescription drug for high blood pressure or depression.
📄 When Using This Product ▾
When using this product do not exceed the recommended daily dosage unless directed by a doctor
📄 Stop Use and Ask a Doctor If ▾
Stop use and ask a doctor if • bleeding occurs • condition worsens or does not improve within 7 days
🤰 If Pregnant or Breast-Feeding ▾
If pregnant or breast feeding, ask a health professional before use.
📄 Keep Out of Reach of Children ▾
Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center right away. (1-800-222-1222)
📄 Questions or Comments ▾
Questions or comments? 1-888-723-3929
📄 Package Label / Principal Display Panel ▾
Package/Label Principal Display Panel Compare to Preparation H® Hemorrhoidal Suppositories active ingredients Quality Guaranteed Hemorrhoidal Suppositories COCOA BUTTER, PHENYLEPHRINE HCl Prompt soothing relief from painful burning, itching and discomfort Helps shrink swelling of irritated hemorrhoidal tissues Protects irritated tissue Also for nighttime relief 12 SUPPOSITORIES 279LJ-hemorrhoidal.jpg
About this NDC listing & data coverage
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) | ✓ 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) | — Not published for this NDC CMS reports utilization only for NDCs with Medicaid claims above its privacy threshold. |