Anusol HC HYDROCORTISONE ACETATE 25 mg Suppository, 24 suppositories — NDC 65649-411-24 (Billing 65649-0411-24)
This is a package of 24 suppositories of Anusol HC HYDROCORTISONE ACETATE 25 mg Suppository from Salix Pharmaceuticals, Inc, marketed since Jun 2004 and currently FDA-listed.
NDC database record
One package, one record: these facts belong to NDC 65649-411-24 alone.
- Record
- FDA NDC Directory package listing · Human prescription drug
- Code segments
- 65649 labeler · 411 product · 24 package
- Package marketed since
- Jun 1, 2004
- Sample package
- No — commercial package
- Listing certified through
- Dec 31, 2026
- Billing quantity
- 24 EA per package
- Barcode (UPC)
- 0365649411120
- FDA record last changed
- Jul 24, 2026
Identity & classification
Regulatory identifiers FDA, NLM and CMS codes for this package
Drug-database identifiers Medi-Span GPI and First Databank GCN / HICL / AHFS classification
- GSN (GCN sequence number): 006858
- GCN: 27941
- GPI-14 (Medi-Span): 89100010105230
- HICL (First Databank): 002863
- AHFS class code: 84:06.08.00
- RxCUI (RxNorm): 1291082
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 2026
- RxNorm (NLM RxNav) · catalog refreshed Oct 1, 2026
- Medi-Span GPI (licensed)
- First Databank (licensed) · refreshed Oct 1, 2026
RxNorm drug class
This medicine belongs to the Corticosteroid class.
Where does this data come from?
- RxClass (NLM) · catalog refreshed Oct 1, 2026
Clinical
Rectal hydrocortisone is used along with other medications to treat proctitis (swelling in the rectum) and ulcerative colitis (a condition which causes swelling and sores in the lining of the large intestine and rectum). It is also used to relieve itching and swelling from hemorrhoids and other rectal problems. Hydrocortisone is in a class of medications called corticosteroids. It works by activating natural substances in the skin to reduce swelling, redness, and itching.
Read the full MedlinePlus article ↗- It depends on the product. Tablets and oral granules are used for adrenal insufficiency, among other conditions. Injections are used for severe allergic states and skin diseases. R...
- Don't stop it suddenly if you take it for adrenal insufficiency. Stopping abruptly can cause adrenal crisis, which can be fatal. Talk to your prescriber before making any changes.
- Common ones are fluid retention, higher blood pressure, changes in blood sugar, mood changes, bigger appetite and weight gain. Call your doctor for signs of infection, vision chang...
- Grapefruit juice and some antifungals and antibiotics can raise hydrocortisone levels. Some seizure medicines and rifampicin can lower them. Tell me about any diabetes medicines, w...
Patient education
Supplement & herbal interactions
Hydrocortisone may be associated with lower levels of 8 nutrients — worth a chat with your pharmacist, not a cause for alarm.
Where does this data come from?
- MedlinePlus (NLM) · refreshed Oct 1, 2026
- FDA label on DailyMed · label index refreshed Oct 5, 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 5, 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 |
|---|---|---|---|---|
| 65649-0411-12 65649-411-12 Main listing | 12 SUPPOSITORY in 1 BOX | 2004-06-01 | — | Active |
| 65649-0411-24 You're viewing this | 24 SUPPOSITORY in 1 BOX | 2004-06-01 | — | Active |
You're viewing the largest of 2 pack sizes for this product.
Pack size FAQ
What quantity is in this package?
How does this package differ from NDC 65649-0411-12?
What NDC number is used to bill for this package of Anusol HC HYDROCORTISONE ACETATE 25 mg Suppository?
Therapeutic equivalents
| Product | Labeler | Pack | NADAC/unit | TE | Status | Price vs. this |
|---|---|---|---|---|---|---|
| Hydrocortisone Acetate 25 mg 24689-0102-01 | APNAR | 12 suppositories | $1.101 | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 00574-7090-12 | Padagis | 12 suppositories | — | — | FDA listed | — |
| Anucort-Hc 25 mg 00713-0503-01 | Cosette | 100 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 00904-7340-12 | Major | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 10135-0751-12 | Marlex | 12 suppositories | — | — | FDA listed | — |
| Hemmorex-HC 25 mg 16477-0201-12 | Laser | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 16571-0676-21 | Rising | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 39328-0029-12 | Patrin | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 50090-6331-00 | A-S | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 50268-0411-01 | AvPAK | 100 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 51407-0665-12 | Golden | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 63629-2530-01 | Bryant | 12 suppositories | — | — | FDA listed | — |
| Anusol HC 25 mgthis 65649-0411-24 | Salix | 24 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 68071-2259-02 | NuCare | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 69367-0243-12 | Westminster | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 70752-0169-02 | QUAGEN | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 71205-0976-12 | Proficient | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 75834-0147-12 | Nivagen | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 82568-0150-01 | AARNA | 12 suppositories | — | — | FDA listed | — |
| Hydrocortisone Acetate 25 mg 68788-4190-01 | Preferred | 12 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
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.
🧪 Avoiding an ingredient? See Hydrocortisone inactive ingredients by manufacturer: every current product's list side by side, so you can ask your pharmacy for the version that does not list it.
💡 Tap an ingredient (hover on desktop) to see what it is and why it’s used.
-
UNII REK4960K2U
Butylated hydroxyanisole is a synthetic preservative that prevents oils and fats in medicines from spoiling or becoming rancid. It keeps the medicine stable and extends its shelf life.
-
UNII 257THB963H
A solid fat made from palm oil that has been chemically processed to increase stability. It functions as a binder and lubricant in tablets and capsules to help hold ingredients together and improve how the medicine flows during manufacturing.
-
UNII ETJ7Z6XBU4
Silicon dioxide is a naturally occurring mineral used as a glidant and anti-caking agent. It helps powder ingredients flow smoothly and prevents clumping during manufacturing and storage.
3 inactive ingredients listed in the exact product block matched to this NDC.
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 5, 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 Salix Pharmaceuticals, Inc labeler code 65649
- Azasan Azathioprine 100 mg Tablet NDC 65649-241-41
- Xifaxan rifaximin 200 mg Tablet NDC 65649-301-03
- Xifaxan rifaximin 550 mg Tablet NDC 65649-303-01
- DIURIL CHLOROTHIAZIDE 250 mg/5mL Suspension NDC 65649-311-12
- Plenvu POLYETHYLENE GLYCOL 3350, SODIUM SULFATE, SODIUM CHLORIDE, POTASSIUM CHLORIDE, ASCORBIC ACID, SODIUM ASCORBATE Kit NDC 65649-400-01
- Anusol HC hydrocortisone 25 mg/g Cream NDC 65649-401-30
- Proctocort HYDROCORTISONE 10 mg/g Cream NDC 65649-501-30
- Proctocort HYDROCORTISONE ACETATE 30 mg Suppository NDC 65649-511-12
- Relistor Methylnaltrexone bromide 12 mg/.6mL Injection, Solution NDC 65649-551-02
- Relistor Methylnaltrexone bromide 8 mg/.4mL Injection, Solution NDC 65649-552-04
- Uceris budesonide 2 mg Aerosol, Foam NDC 65649-651-03
Where does this data come from?
- FDA openFDA NDC Directory · synced Oct 1, 2026
- Drugs@FDA
Full prescribing information FDA SPL
🎯 Indications and Usage ▾
INDICATIONS AND USAGE For use in inflamed hemorrhoids, post-irradiation (factitial) proctitis, as an adjunct in the treatment of chronic ulcerative colitis, cryptitis, other inflammatory conditions of the anorectum, and pruritus ani.
⏱️ Dosage and Administration ▾
DOSAGE AND ADMINISTRATION Usual Dosage: One suppository in the rectum morning and night for two weeks, in nonspecific proctitis. In more severe cases, one suppository three times daily; or two suppositories twice daily. In factitial proctitis, recommended therapy is six to eight weeks or less, according to response.
⛔ Contraindications ▾
CONTRAINDICATION Anusol-HC ® suppositories are contraindicated in those patients with a history of hypersensitivity to any of the components.
🤒 Adverse Reactions ▾
ADVERSE REACTIONS The following local adverse reactions have been reported with corticosteroid suppositories. 1. Burning 2. Itching 3. Irritation 4. Dryness 5. Folliculitis 6. Hypopigmentation 7. Allergic contact dermatitis 8. Secondary infection To report SUSPECTED ADVERSE REACTIONS, contact Salix Pharmaceuticals at 1-800-321-4576 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch .
🤰 Pregnancy ▾
Pregnancy: In laboratory animals, topical steroids have been associated with an increase in the incidence of fetal abnormalities when gestating females have been exposed to rather low dosage levels. There are no adequate and well-controlled studies in pregnant women. Anusol-HC ® suppositories should only be used during pregnancy if the potential benefit justifies the risk of the fetus.
Drugs of this class should not be used extensively on pregnant patients, in large amounts, or for prolonged periods of time. Nursing Mothers: It is not known whether this drug is excreted in human milk, and because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from Anusol-HC ® suppositories, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
🆘 Overdosage ▾
OVERDOSAGE If signs and symptoms of systemic overdosage occur, discontinue use.
🧬 Clinical Pharmacology ▾
CLINICAL PHARMACOLOGY In normal subjects, about 26 percent of hydrocortisone acetate is absorbed when the hydrocortisone acetate suppository is applied to the rectum. Absorption of hydrocortisone acetate may vary across abraded or inflamed surfaces. Topical steroids are primarily effective because of their anti-inflammatory, anti-pruritic and vasoconstrictive action.
📦 How Supplied / Storage and Handling ▾
HOW SUPPLIED Anusol-HC ® 25 mg Suppositories are white, cylinder shaped, with one end tapered. NDC 65649-411-12 25 mg 12 suppositories NDC 65649-411-24 25 mg 24 suppositories Store at 20° to 25°C (68° to 77°F) [see USP Controlled Room Temperature]. Store away from heat.
PROTECT FROM FREEZING. Distributed by: Salix Pharmaceuticals, a division of Bausch Health US, LLC, Bridgewater, NJ 08807 USA Anusol-HC is a trademark of Salix Pharmaceuticals, Inc. or its affiliates. © 2024 Salix Pharmaceuticals, Inc. or its affiliates OPENING INSTRUCTIONS Avoid excessive handling of the suppository. It is designed to melt at body temperature.
1. Separate plastic film at top opening and pull downward. 2.
Continue pulling downward to almost the full length of the suppository. 3. Gently remove the suppository from the film pocket.
Rev. 07/2024 9520702 Opening Instructions
📋 Description ▾
DESCRIPTION Each Anusol-HC ® 25 mg Suppository contains 25 mg hydrocortisone acetate in a hydrogenated vegetable oil base. Hydrocortisone acetate is a corticosteroid. Chemically, hydrocortisone acetate is pregn-4-ene-3, 20-dione, 21-(acetyloxy)-11, 17-dihydroxy (11β)- with the following structural formula: Structural Formula
💬 Information for Patients ▾
Information for Patients: Staining of fabric may occur with use of the suppository. Precautionary measures are recommended.
⚠️ Precautions ▾
PRECAUTIONS Do not use unless adequate proctologic examination is made. If irritation develops, the product should be discontinued and appropriate therapy instituted. In the presence of an infection, the use of an appropriate antifungal or antibacterial agent should be instituted.
If a favorable response does not occur promptly, the corticosteroid should be discontinued until the infection has been adequately controlled. No long-term studies in animals have been performed to evaluate the carcinogenic potential of corticosteroid suppositories.
🔒 Drug Abuse and Dependence ▾
DRUG ABUSE AND DEPENDENCE Drug abuse and dependence has not been reported in patients treated with Anusol-HC ® suppositories.
📄 Package Label / Principal Display Panel ▾
PACKAGE LABEL PRINCIPAL DISPLAY PANEL - Carton NDC 65649-411-12 Rx only Anusol-HC ® (Hydrocortisone Acetate in a Hydrogenated Vegetable Oil Base) 25 mg For rectal use only. Not for oral use. 12 Suppositories carton
Medicare Part D spend CMS · PART D · 2026 (Q1)
Reported adverse events (FAERS)
Top reported reactions
Age at onset
Reporter sex
Serious outcomes
Where does this data come from?
About this NDC listing & data coverage
Listed without an FDA application
This product's marketing category indicates it is marketed without an approved FDA application (no NDA, ANDA, or BLA on file). Having an NDC does not by itself establish FDA approval — the NDC Directory is a listing system, not an approval decision. Approval-linked data such as Orange Book therapeutic-equivalence ratings therefore does not apply.
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. |