NDC codes

FDA NDC Directory
Product NDC (as listed)11822-0615Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-0615Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
11822-0615-911822061509118220615091 TUBE in 1 CARTON (11822-0615-9) / 7 g in 1 TUBEMarketed from May 6, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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

Generic name (nonproprietary)
benzocaine
Active ingredients
Benzalkonium chloride — .13 g/100gZinc chloride — .15 g/100gMenthol — .5 g/100gBenzocaine — 20 g/100g
Dosage form
Gel
Route
Oral
Labeler
Rite AidNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Marketing end
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 11822-0615_437ffe13-51f2-ebce-e063-6394a90a0185SPL ID 437ffe13-51f2-ebce-e063-6394a90a0185SPL set ID 99703bf4-f169-5e05-e053-2995a90afab4RxCUI 2369638UNII F5UM2KM3W7, 86Q357L16B, L7T10EIP3A, U3RSY48JW5
Pharmacologic class
Copper Absorption Inhibitor; Standardized Chemical Allergen

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. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N411822061509 followed by a unit qualifier and the quantity

Package 11822-0615-09. 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)

Warnings Methemoglobinemia warning: use of this product ay cause methemoglobinemia, a serious condition that must be treated promptly because it reduces the amount of oxygen carried in teh blood. This can occur even if you have used this product before. Stop use and seek immediate medical attention if you or a child in your care develops: * pale, gray, or blue colored skin (cyanosis) * headache * rapid heart rate * shortness of breath * dizziness or lightneadedness * fatigue or lack of energy Allergy Alert do not use this product if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other "caine" anesthetics Do not use * more than directed * for mor…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-0615

What is NDC 11822-0615?
11822-0615 is the product NDC for 4X Medicated Severe Toothache and Gum Gel, Benzalkonium chloride .13 g/100g + 3 more ingredients gel, listed with the FDA by Rite Aid. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
4X Medicated Severe Toothache and Gum Gel (Benzocaine).
What is the active ingredient?
Benzalkonium chloride, Zinc chloride, Menthol, Benzocaine.
Who is the labeler?
Rite Aid, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for 4X Medicated Severe Toothache and Gum Gel?
1 other product NDC are listed under this name. See all 4X Medicated Severe Toothache and Gum Gel NDCs.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

Other finished products listed under the same name: strengths, forms and labelers.

Other 4X Medicated Severe Toothache and Gum Gel NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
4x Medicated Severe Toothache and Gum Gelbenzalkonium chlorideBenzalkonium chloride .13 g/100g + 3 more ingredientsGelOralMeijer79481-061079481-0610-09

Other NDCs under M 022

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
365 Whole Foods Market Spearmint Flavored Fluoride Mouthwash AnticavityfluorideFluoride ion .1 mg/mLMouthwashOralWHOLE FOODS42681-0048
3ECARE Dual formula WhiteningToothpaste Refillsodium fluorideSodium fluoride .155 g/100gOintmentSubgingivalHangzhou Namei Zhikang Technology Co., Ltd.87514-002
3x Medicated Mouth Sore GelbenzocaineZinc chloride .15 g/100g + 2 more ingredientsGelOralWalgreens0363-1605
3X Medicated Mouth Sore GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-6170
3x Medicated Mouth Sore GelbenzocaineMenthol, Unspecified form .1 g/100g + 2 more ingredientsGelOralHEB37808-691
3x Medicated Mouth Sore GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralCVS69842-660
3x Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralCVS69842-693
4-in-1 Teeth Care PensSodium fluoride .25 g/100gGel, DentifriceTopicalJiangxi Dentalbright Technology Co., Ltd83778-011
4X Medicated Severe Toothache and Gum CreambenzocaineBenzocaine 20 g/100g + 3 more ingredientsCreamOralRite Aid11822-0614
4x Medicated Toothache and Gum CreambenzocaineBenzocaine 20 g/100g + 3 more ingredientsCreamOralHEB37808-116
4x Medicated Toothache and Gum CreambenzocaineBenzalkonium chloride .13 g/100g + 3 more ingredientsCreamOralCVS69842-631
4x Medicated Toothache and Gum GelbenzocaineMenthol, Unspecified form .5 g/100g + 3 more ingredientsGelOralWalgreens0363-6008
4X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 3 more ingredientsGelOralWalmart49035-569
4x Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 3 more ingredientsGel, DentifriceOralPublix Super Markets INC56062-312
4x Medicated Toothache and Gum GelbenzocaineBenzalkonium chloride .13 g/100g + 3 more ingredientsGelOralCVS69842-642
7 Select Oral Pain Maximum Strength ReliefbenzocaineBenzocaine 200 mg/gGelTopical7-ELEVEN, INC.10202-853
ABC Sore Throat Menthol FlavorphenolPhenol 1.4 g/100mLSprayOralAMERISOURCE BERGEN46122-749
AcetaminophenAcetaminophen 160 mg/5mLSuspensionOralNuCare Pharmaceuticals,Inc.68071-4860
Advance Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalThe Atlanta Dental Supply Company DBA Advanced Dental Products71347-100
Advance Topical Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDentalThe Atlanta Dental Supply Company DBA Advanced Dental Products71347-101

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