NDC codes

FDA NDC Directory
Product NDC (as listed)11822-1070Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-1070Add 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
11822-1070-311822107003103 mL in 1 TUBE (11822-1070-3)Marketed from Mar 31, 2021

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

Brand name (proprietary)
Rite Aid Anti-Itch
Generic name (nonproprietary)
diphenhydramine hcl 2%
Active ingredients
Diphenhydramine hydrochloride2 g/100mL
Dosage form
Gel
Route
Topical
Labeler
Rite Aid
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Other FDA classes
Histamine H1 Receptor Antagonists (Mechanism)
Identifiers
Product ID 11822-1070_2956dcd8-2fd3-cea7-e063-6294a90aee82SPL ID 2956dcd8-2fd3-cea7-e063-6294a90aee82SPL set ID e33898d8-1b8b-5c0b-e053-2995a90add08RxCUI 1049880UNII TC2D6JAD40UPC 0011822210072
Pharmacologic class
Histamine-1 Receptor Antagonist

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

N411822107003 followed by a unit qualifier and the quantity

Package 11822-1070-03. 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)

For the temporary relief of pain and itching associated with insect bites, minor burns, sunburn, minor cuts, scrapes, minor skin irritations, and rashes due to poison ivy, oak, and sumac.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under M 017

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

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
Topcare Pain Relief Patchpain relief patch medicated 5% mentholMenthol 5 g/100gPatchTopical7616276162-999
Dit Da Shuimenthol and methyl salicylateMenthol 100 mg/mL; Methyl salicylate 50 mg/mLLiquidTopicalBig 5 Nutrition LLC82198-0006
GREEN GUARD Topical Pain Relieflidocaine hciLidocaine hydrochloride 20 mg/mLSprayTopicalUltra Distributors Inc78495-132
Medicated Body PowdermentholMenthol .42 g/283gPowderTopicalWalmart Stores Inc79903-724
lidocaine pain relief patcheslidocaineMenthol 1.8 g/100g; Lidocaine 5 g/100gPatchTopicalChangsha Maocheng Trading Co., Ltd84876-101
Pain Relief Gel-Patchlidocaine 4%Lidocaine 4 g/100gPatchTopicalSportpharm LLC85766-153
Rugged Fit Pain Relief Roll Onmenthol, methyl salicylateMenthol 2 g/100mL; Methyl salicylate 10 g/100mLGelTopicalSYSTEM4BOOK LLC85826-041
Rite Aid Lidocaine Patch XLargelidocaineLidocaine 4 g/100gPatchTopicalRite Aid Corporation11822-9992
Salonpascamphor, menthol, methyl salicylateCamphor (Synthetic) 86.24 mg/1 + 2 more ingredientsPatchPercutaneous, Topical, TransdermalHisamitsu Pharmaceutical Co., Inc.46581-210
NeuroNesic Pain Relieving CreamcapsaicinCapsaicin .1 g/100gCreamCutaneousBlaine Labs Inc.63347-999
Walgreens Lidocaine BacklidocaineLidocaine 40 mg/gPatchTopicalWalgreen Co.0363-2178
Muscle Rub Creammenthol 10%, methyl salicylate 15%Menthol 10 g/100g; Methyl salicylate 15 g/100gCreamTopicalTrifecta Pharmaceuticals USA, LLC.69396-110
Walgreens Cold Therapy Pain Relief Patchmenthol 5%Menthol 5 g/100gPatchTopicalWalgreens Company0363-9950
Aveeno Hydrocortisone ANTI-ITCHhydrocortisoneHydrocortisone 10 mg/gCreamTopicalKenvue Brands LLC69968-0511
MyDerm Aloe and LidocainelidocaineLidocaine hydrochloride .5 g/100mLGelTopicalInspec Solutions LLC.72667-283
4 Lidocaine Topical AnestheticlidocaineLidocaine 40 mg/gCreamTopicalRUGBY LABORATORIES0536-1267
Lidocaine Numbing CreamlidocaineLidocaine 50 mg/mLCreamTopicalYYBA Corp73581-105
Menthol, CamphorMenthol 3 g/100g; Camphor (Natural) 3 g/100gCreamTopicalEROS GLOBAL80465-003
Menthol pain relief patchesmentholCapsaicin .25 g/100g; Menthol 5 g/100gPatchTopicalMenthol pain relief patch84876-005
Sting Relief SwabbenzocaineMenthol, Unspecified form .006 g/.6mL; Benzocaine .12 g/.6mLSwabTopical4 Visions LLC87251-008

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