Over-the-counter drug · OTC MONOGRAPH DRUG
Equate Pain Relief Balm NDC 79903-105
menthol 11%, camphor 11% ointment · Menthol 110 mg/g; Camphor (Synthetic) 110 mg/g · Ointment · Topical · WALMART, INC
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79903-105-18 | 79903010518 | 1 BOTTLE, GLASS in 1 CARTON (79903-105-18) / 18 g in 1 BOTTLE, GLASSMarketed from Apr 1, 2022 |
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)
- Equate Pain Relief Balm
- Generic name (nonproprietary)
- menthol 11%, camphor 11% ointment
- Active ingredients
- Menthol — 110 mg/gCamphor (Synthetic) — 110 mg/g
- Dosage form
- Ointment
- Route
- Topical
- Labeler
- WALMART, INC
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 017
- Marketing start
- Listing expires
- Identifiers
- Product ID 79903-105_40aa5ef9-be48-5f8d-e063-6294a90a68a3SPL ID 40aa5ef9-be48-5f8d-e063-6294a90a68a3SPL set ID d8ddf835-f008-ce1f-e053-2a95a90aa9b3RxCUI 1089847UNII L7T10EIP3A, 5TJD82A1ET
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
N479903010518followed by a unit qualifier and the quantityPackage 79903-0105-18. 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)
USES For temporary relief of minor aches and pains of muscles and joints associated with simple backache, arthritis, bruises, strains and sprains.
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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