Over-the-counter drug · OTC MONOGRAPH DRUG
Walgreens Nerve Pain Relieving Topical Analgesic NDC 0363-3791
lidocaine hydrochloride and menthol, unspecified form · Lidocaine hydrochloride 40 mg/mL; Menthol, Unspecified form 10 mg/mL · Liquid · Topical · Walgreen Company
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0363-3791-01 | 00363379101 | 1 CYLINDER in 1 CARTON (0363-3791-01) / 74 mL in 1 CYLINDERMarketed from Feb 21, 2023 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules
Product information
- Brand name (proprietary)
- Walgreens Nerve Pain Relieving Topical AnalgesicSuffix: Topical Analgesic
- Generic name (nonproprietary)
- lidocaine hydrochloride and menthol, unspecified form
- Active ingredients
- Lidocaine hydrochloride — 40 mg/mLMenthol, Unspecified form — 10 mg/mL
- Dosage form
- Liquid
- Route
- Topical
- Labeler
- Walgreen Company
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 017
- Marketing start
- Listing expires
- Other FDA classes
- Amides (Chemical structure)Local Anesthesia (Physiologic effect)
- Identifiers
- Product ID 0363-3791_0d9f48b5-1167-4f3b-9934-f91c258eb209SPL ID 0d9f48b5-1167-4f3b-9934-f91c258eb209SPL set ID 83849eca-e02f-4b43-b3a7-b25e987e08a8RxCUI 2002008UNII V13007Z41A, L7T10EIP3A
- Pharmacologic class
- Amide Local Anesthetic; Antiarrhythmic
Billing references
What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.
- HCPCS codeNo match
No HCPCS code in Med-Code's directory. Topical products like this are usually dispensed by a pharmacy and billed by NDC.
- NDC on a medical claim
N400363379101followed by a unit qualifier and the quantityPackage 00363-3791-01. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier
Product label
Current FDA label (SPL), effective .
Indications (excerpt from the label)
Use for the temporary relief of pain.
Excerpt only. Read the full label for complete information.
Other NDCs under M 017
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Topcare Pain Relief Patchpain relief patch medicated 5% menthol | Menthol 5 g/100g | PatchTopical | 76162 | 76162-999 |
| Dit Da Shuimenthol and methyl salicylate | Menthol 100 mg/mL; Methyl salicylate 50 mg/mL | LiquidTopical | Big 5 Nutrition LLC | 82198-0006 |
| GREEN GUARD Topical Pain Relieflidocaine hci | Lidocaine hydrochloride 20 mg/mL | SprayTopical | Ultra Distributors Inc | 78495-132 |
| Medicated Body Powdermenthol | Menthol .42 g/283g | PowderTopical | Walmart Stores Inc | 79903-724 |
| lidocaine pain relief patcheslidocaine | Menthol 1.8 g/100g; Lidocaine 5 g/100g | PatchTopical | Changsha Maocheng Trading Co., Ltd | 84876-101 |
| Pain Relief Gel-Patchlidocaine 4% | Lidocaine 4 g/100g | PatchTopical | Sportpharm LLC | 85766-153 |
| Rugged Fit Pain Relief Roll Onmenthol, methyl salicylate | Menthol 2 g/100mL; Methyl salicylate 10 g/100mL | GelTopical | SYSTEM4BOOK LLC | 85826-041 |
| Rite Aid Lidocaine Patch XLargelidocaine | Lidocaine 4 g/100g | PatchTopical | Rite Aid Corporation | 11822-9992 |
| Salonpascamphor, menthol, methyl salicylate | Camphor (Synthetic) 86.24 mg/1 + 2 more ingredients | PatchPercutaneous, Topical, Transdermal | Hisamitsu Pharmaceutical Co., Inc. | 46581-210 |
| NeuroNesic Pain Relieving Creamcapsaicin | Capsaicin .1 g/100g | CreamCutaneous | Blaine Labs Inc. | 63347-999 |
| Walgreens Lidocaine Backlidocaine | Lidocaine 40 mg/g | PatchTopical | Walgreen Co. | 0363-2178 |
| Muscle Rub Creammenthol 10%, methyl salicylate 15% | Menthol 10 g/100g; Methyl salicylate 15 g/100g | CreamTopical | Trifecta Pharmaceuticals USA, LLC. | 69396-110 |
| Walgreens Cold Therapy Pain Relief Patchmenthol 5% | Menthol 5 g/100g | PatchTopical | Walgreens Company | 0363-9950 |
| Aveeno Hydrocortisone ANTI-ITCHhydrocortisone | Hydrocortisone 10 mg/g | CreamTopical | Kenvue Brands LLC | 69968-0511 |
| MyDerm Aloe and Lidocainelidocaine | Lidocaine hydrochloride .5 g/100mL | GelTopical | Inspec Solutions LLC. | 72667-283 |
| 4 Lidocaine Topical Anestheticlidocaine | Lidocaine 40 mg/g | CreamTopical | RUGBY LABORATORIES | 0536-1267 |
| Lidocaine Numbing Creamlidocaine | Lidocaine 50 mg/mL | CreamTopical | YYBA Corp | 73581-105 |
| Menthol, Camphor | Menthol 3 g/100g; Camphor (Natural) 3 g/100g | CreamTopical | EROS GLOBAL | 80465-003 |
| Menthol pain relief patchesmenthol | Capsaicin .25 g/100g; Menthol 5 g/100g | PatchTopical | Menthol pain relief patch | 84876-005 |
| Sting Relief Swabbenzocaine | Menthol, Unspecified form .006 g/.6mL; Benzocaine .12 g/.6mL | SwabTopical | 4 Visions LLC | 87251-008 |
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