NDC codes

FDA NDC Directory
Product NDC (as listed)69159-920Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69159-0920Add 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
69159-920-0569159092005691590920051 POUCH in 1 CARTON (69159-920-05) / 5 PATCH in 1 POUCH / 9 g in 1 PATCHMarketed from Sep 1, 2016

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)
Lidocaine Pain Relief Patch
Generic name (nonproprietary)
lidocaine and menthol, unspecified form
Active ingredients
Menthol, Unspecified form — 1 g/100gLidocaine — 4 g/100g
Dosage form
Patch
Route
Topical
Labeler
Foshan Aqua Gel Biotech Co.,Ltd.NDC labeler code 69159
Product type
Over-the-counter drug
Marketing category
OTC monograph (not final)Application part348
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 69159-920_5d539dfd-9d87-c162-e053-2991aa0a51c0SPL ID 5d539dfd-9d87-c162-e053-2991aa0a51c0SPL set ID 3fe1a160-6508-62ea-e054-00144ff8d46cRxCUI 1249758UNII L7T10EIP3A, 98PI200987
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

N469159092005 followed by a unit qualifier and the quantity

Package 69159-0920-05. 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)

Directions Adults and children over 12 years of age: clean and dry affected area strip off the clear protective film and place adhesive patch over affected area leave in place for up to 8 hours wash hands thoroughly after applying or removing patch. Children under 12 years: ask a doctor before use.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69159-920

What is NDC 69159-920?
69159-920 is the product NDC for Lidocaine Pain Relief Patch, Menthol, Unspecified form 1 g/100g; Lidocaine 4 g/100g patch, listed with the FDA by Foshan Aqua Gel Biotech Co.,Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidocaine Pain Relief Patch (LIDOCAINE and MENTHOL, UNSPECIFIED FORM).
What is the active ingredient?
Menthol, Unspecified form, Lidocaine.
Who is the labeler?
Foshan Aqua Gel Biotech Co.,Ltd., NDC labeler code 69159. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lidocaine Pain Relief Patch?
5 other product NDCs are listed under this name. See all Lidocaine Pain Relief Patch 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 Lidocaine Pain Relief Patch NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lidocaine Pain Relief PatchlidocaineLidocaine 4 mg/100mgPatchTopicalGERI-CARE PHARMACEUTICAL CORP57896-16157896-0161-06
Lidocaine Pain Relief PatchlidocaineLidocaine 4 mg/100mgPatchTopicalGERI-CARE PHARMACEUTICAL CORP57896-16357896-0163-05
Lidocaine-Pain-Relief-PatchLidocaine 4 g/1001PatchTopicalHenan Enokon Medical Instrument Co., Ltd.83559-01183559-0011-01
Lidocaine Pain Relief PatchMenthol 1 g/1001; Lidocaine 4 g/1001PasteCutaneousHenan Shouerkang Health Industry Co., Ltd85056-00185056-0001-0285056-0001-0485056-0001-06+7 more
Lidocaine Pain Relief PatchLidocaine 4 g/1001PatchTopicalHenan Enokon Medical Instrument Co., Ltd.83559-00483559-0004-01

Other NDCs under part348

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

FDA NDC Directory listings under part348
ProductStrengthForm · routeLabelerProduct NDC
AnalgesicmentholMenthol 70 mg/LGelTopicalSafetec of America, Inc.61010-8202
Arthritis Pain Relieving Creammenthol, methyl salicylateMenthol 12 g/1; Methyl salicylate 19.5 g/1CreamTopicalInternational Nature Nutraceuticals, Inc.51367-036
Assured Vaporizing Chest Rubcamphor and eucalyptus oil and mentholCamphor (Synthetic) 4.7 g/100g + 2 more ingredientsOintmentTopicalGreenbrier International, Inc.33992-7996
Avedana Cool Hot IcementholMenthol 2 g/100gGelTopicalUnipack, Inc.43749-321
Best Choice Itch Reliefdiphenhydramine hcl, zinc acetateZinc acetate .1 g/100mL; Diphenhydramine hydrochloride 2 g/100mLSprayTopicalValu Merchandisers63941-259
Capsaicin Pain ReliefcapsaicinCapsaicin .702 mg/1PatchTopicalKareway Product, Inc.67510-0303
CirlutonecamphorCamphor (Synthetic) .6 g/100gOintmentTopicalHerbal Health LLC71917-001
Cold Leaf Nutrition Muscle And Joint Pain ReliefmentholMenthol 37 mg/mLGelTopicalNATURAL ESSENTIALS, INC.66902-114
CVS Pain Relieving First Aid Antisepticlidocaine hydrochloride, benzalkonium chlorideLidocaine hydrochloride .025 g/g; Benzalkonium chloride .0013 g/gSprayTopicalCVS Pharmacy69842-615
CVS Pharmacy Sensitive Medicated Creambenzocaine, benzalkonium chlorideBenzocaine .05 g/g; Benzalkonium chloride .0013 g/gCreamTopicalCVS Pharmacy69842-638
CVS Sore Muscle Rub Vanishing ScentmentholMenthol .025 g/gCreamTopicalCVS Pharmacy69842-712
Deeveeant NumblidocaineLidocaine 40 mg/gCreamTopicalValekista Limited71383-014
Discount Drug Mart Anti-itchhydrocortisoneHydrocortisone 1 g/100gCreamTopicalDISCOUNT DRUG MART, INC.53943-269
Discount Drug Mart Regular Strength Itch Stoppingdiphenhydramine hydrochloride, zinc acetateDiphenhydramine hydrochloride 10 mg/g; Zinc acetate 1 mg/gCreamTopicalDiscount Drug Mart53943-261
Dollar General Medicated Pain Relief Patchcamphor, menthol, methyl salicylateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalDOLGENCORP, LLC55910-907
Dr. BluementholMenthol 4.58 g/100gGelTopicalIndiana Botanic Gardens10578-131
Ebsl-5lidocaine hydrochloride—KitWater-Jel Technologies59898-140
Ebss-5lidocaine hydrochloride—KitWater-Jel Technologies59898-160
Fast Freezecamphor (natural), mentholCamphor (Natural) 2 mg/g; Menthol 35 mg/gGelTopicalNatural Essentials Inc.66902-000
Fire Outbenzocaine and mentholBenzocaine 200 mg/mL; Menthol, Unspecified form 10 mg/mLSolutionTopicalRandob Ltd.52412-300

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