NDC codes

FDA NDC Directory
Product NDC (as listed)67777-013Labeler and product segments. Claims need a package NDC.
Product NDC at billing width67777-0013Add 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
67777-013-056777700130524 BOTTLE, SPRAY in 1 CASE (67777-013-05) / 59.1 mL in 1 BOTTLE, SPRAY (67777-013-06)Marketed from Feb 29, 2024

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 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)
1168
Generic name (nonproprietary)
1168 burn spray
Active ingredients
Lidocaine hydrochloride — .02 mg/mL
Dosage form
Spray
Route
Topical
Labeler
Dynarex CorporationNDC labeler code 67777
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 67777-013_1183a4f5-f876-dfb0-e063-6394a90af35fSPL ID 1183a4f5-f876-dfb0-e063-6394a90af35fSPL set ID 1183a4f5-f875-dfb0-e063-6394a90af35fUNII V13007Z41AUPC 0840117332751
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

N467777001305 followed by a unit qualifier and the quantity

Package 67777-0013-05. 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(s) For the temporary relief of pain associated with minor burns

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 67777-013

What is NDC 67777-013?
67777-013 is the product NDC for 1168 (1168 burn spray), Lidocaine hydrochloride .02 mg/mL spray, listed with the FDA by Dynarex Corporation. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
1168 (1168 Burn Spray).
What is the active ingredient?
Lidocaine hydrochloride.
Who is the labeler?
Dynarex Corporation, NDC labeler code 67777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for 1168?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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
Rite Aid Hydrocortisonehydrocortisone 1%Hydrocortisone 1 g/100gOintmentTopicalRite Aid11822-2685
Flanaxmethyl salicylate, menthol, capsaicinMethyl salicylate 28 g/100g + 2 more ingredientsLinimentTopicalBelmora LLC27854-499
Profoot Pain Relief Patchescamphor, menthol, methyl salicylate—KitRooftop Consumer Health, Inc.29784-600
Eagle Medicatedmenthol methyl salicylateMethyl salicylate 30 g/100mL; Menthol 14.5 g/100mLOilTopicalBorden Company (Private) Limited43405-008
Burn Relief Aloelidocaine hclLidocaine hydrochloride 4 g/100gGelTopicalAcutens80551-001
Large Pain Relievingcamphor menthol methyl salicytateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalWalgreen Company0363-9904
Teeter Renew Muscles Pain Relievingmethyl salicylate, mentholMethyl salicylate 100 mg/mL; Menthol 70 mg/mLCreamTopicalSTL International INC70329-730
Nufabrx Medicine Infused SockscapsaicinCapsaicin .12 g/100gClothTopicalNufabrx LLC72490-037
BurnlidocaineLidocaine hydrochloride 2 mg/100mLSprayTopicalHART Health50332-0210
Pramoxine Itch reliefpramoxine hcl 1%Pramoxine hydrochloride 1 g/100gCreamTopicalCVS51316-141
DG Health Hydrocortisone Maximum StrengthhydrocortisoneHydrocortisone 1 g/100gCreamTopicalDolgencorp Inc55910-319
Methyl Salicylate 10% Pain Relievingmethyl salicylateMethyl salicylate 100 mg/gCreamTopicalPureTek Corporation59088-243
BiofreezementholMenthol 105 mg/mLSprayTopicalReckitt Benckiser LLC59316-833
Qr PainanalgesicMannitol 30 g/100g; Menthol 1.25 g/100gCreamTopicalMARYHELENE ENTERPRISES INC73180-005
Methyl Salicylate 25% Creammethyl salicylateMethyl salicylate 250 mg/mLCreamTopicalMedcore LLC82461-415
Profoot Pain Relief Patchescamphor, menthol, methyl salicylate—KitProfoot, Inc.29784-601
Lidocaineburn reliefLidocaine .64 g/127gAerosol, SprayTopicalFoodhold USA41520-162
Eagle Medicated Aromaticcamphor menthol methyl salicylateCamphor (Synthetic) 7 g/100mL + 2 more ingredientsOilTopicalBorden Company (Private) Limited43405-009
HydrocortisoneHydrocortisone 10 mg/gCreamTopicalUnifirst First Aid Corporation47682-933
Arctic Heatmenthol, methyl salicylateMethyl salicylate 11.2 g/112g; Menthol 2.24 g/112gCreamTopicalRenu Laboratories, LLC76348-414

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