Over-the-counter drug · OTC MONOGRAPH DRUG
Mamisan NDC 79974-216
lidocaine hydrochloride, menthol · Lidocaine hydrochloride 4 g/100g; Menthol, Unspecified form 1 g/100g · Ointment · Topical · Miramar Cosmetics, Inc DBA Miramar Lab
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 79974-216-03 | 79974021603 | 100 g in 1 JAR (79974-216-03)Marketed from Sep 2, 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)
- Mamisan
- Generic name (nonproprietary)
- lidocaine hydrochloride, menthol
- Active ingredients
- Lidocaine hydrochloride — 4 g/100gMenthol, Unspecified form — 1 g/100g
- Dosage form
- Ointment
- Route
- Topical
- 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 79974-216_e4a7ecde-0c1a-43da-8488-1f31b106c2dcSPL ID e4a7ecde-0c1a-43da-8488-1f31b106c2dcSPL set ID 4402e900-c6e9-4f32-8cc4-c84014384a9fRxCUI 2471955UNII V13007Z41A, L7T10EIP3A
- 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
N479974021603followed by a unit qualifier and the quantityPackage 79974-0216-03. 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)
Use • For the temporary relief of pain
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 |
|---|---|---|---|---|
| ZENSEZONE Arthmed Temporary Pain Relief Creamcapsaicin, menthol, methyl salicylate | Capsaicin .25 mg/mL + 2 more ingredients | CreamTopical | ZENSEZONE LLC | 82319-240 |
| Quality Choice Lidocaine Pain Relief Patchlidocaine | Lidocaine 4 g/100g | PatchTopical | Quality Choice (CHAIN DRUG MARKETING ASSOCIATION) | 83324-257 |
| Opravamethyl salicylate, menthol, capsaicin | Methyl salicylate 10 g/100mL + 2 more ingredients | CreamTopical | Biological M.D. Solutions LLC | 83538-102 |
| LidoGuardlidocaine hcl | Lidocaine hydrochloride 4 g/100g | CreamTopical | ViolaCare, Inc. | 85231-200 |
| Kalaya Extra Strength Pain Relief Gel with Arnicamethyl salicylate, menthol, camphor | Methyl salicylate 11 g/100g + 2 more ingredients | GelTopical | Avaria Health & Beauty Corp | 43493-0012 |
| POINT RELIEF COLD SPOT Pain Relievingmenthol | Menthol 120 mg/mL | GelTopical | FABRICATION ENTERPRISES | 51452-450 |
| NeuroMed 7 Topical Pain Relieflidocaine hydrochloride | Lidocaine hydrochloride 4 g/100g | CreamTopical | Sambria Pharmaceuticals, LLC | 54723-175 |
| Solstice Pain Relievingcamphor, menthol, methyl salicylate | Camphor (Synthetic) 3.1 g/100g + 2 more ingredients | PatchTopical | MADISON ONE ACME INC | 55614-210 |
| Peviderm Pramoxine Hydrocholride 1%pramoxine hydrochloride | Pramoxine hydrochloride 1 mg/mL | LotionTopical | Stratus Pharmaceuticals Inc | 58980-913 |
| Stopain Clinicalmenthol | Menthol 100 mg/g | GelTopical | Troy Manufacturing, Inc. | 63936-9751 |
| Alocane Maxlidocaine hydrochloride and benzalkonium chloride | Lidocaine hydrochloride 4 g/100mL; Benzalkonium chloride .13 g/100mL | GelTopical | Quest Products LLC | 68229-406 |
| Lidocare 034% lidocaine | Lidocaine 4 g/1 | PatchTopical | Kingsway Pharmaceuticals dba NFI, LLC | 69993-400 |
| TheraCare Roll-on Lidocaine Pain Relief Liquid - Lavenderlidocaine hci | Lidocaine 4 g/mL | LiquidTopical | Veridian Healthcare | 71101-088 |
| Re-Lieved Lidocaine Patchlidocaine patch 4% | Lidocaine 18 mg/116cm2 | PatchTopical | Transfer Technology | 71662-000 |
| Nuvalu Ice Therapy Menthol Pain Relievingmenthol | Menthol 3 g/100g | GelTopical | JC SALES | 72520-207 |
| SANA SANA Menthol External Analgesicmenthol | Menthol 150 mg/g | GelTopical | Alquimia Najulam S de RL de CV | 72367-000 |
| Rugby Menthol Hot Cold Patchmenthol | Menthol, Unspecified form 5 g/100g | PatchTopical | RUGBY LABORATORIES | 0536-1332 |
| Careland Lidocaine Plus Menthol Pain Relieving Gel Patcheslidocaine, menthol | Lidocaine 40 mg/g; Menthol 10 mg/g | PatchTopical | Planet (Anhui) Pharmaceutical Co., Ltd. | 75568-051 |
| Lidocaine HCl | Lidocaine hydrochloride anhydrous 5 mg/g | GelTopical | Topco Associates LLC | 76162-034 |
| Itch Relief Gel | Diphenhydramine hydrochloride 2 mg/100mL | GelTopical | Pharma Nobis, LLC | 82645-901 |
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