Over-the-counter drug · OTC MONOGRAPH DRUG
Achelon Lidocaine Patch (Lidocaine patch 4%) NDC 84209-400
Lidocaine 7.54 mg/60.81cm2 · Patch · Topical · Achelon, Inc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 84209-400-01 | 84209040001 | 60.81 cm2 in 1 POUCH (84209-400-01)Marketed from Mar 26, 2025 |
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)
- Achelon Lidocaine Patch
- Generic name (nonproprietary)
- lidocaine patch 4%
- Active ingredients
- Lidocaine — 7.54 mg/60.81cm2
- Dosage form
- Patch
- Route
- Topical
- Labeler
- Achelon, IncNDC labeler code 84209
- 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 84209-400_31408e34-cb94-3252-e063-6394a90a99a9SPL ID 31408e34-cb94-3252-e063-6394a90a99a9SPL set ID 31408e21-e58d-6db5-e063-6294a90aa4bcRxCUI 1737778UNII 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
N484209040001followed by a unit qualifier and the quantityPackage 84209-0400-01. 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 the temporary relief of pain.
Excerpt only. Read the full label for complete information.
About NDC 84209-400
- What is NDC 84209-400?
- 84209-400 is the product NDC for Achelon Lidocaine Patch (lidocaine patch 4%), Lidocaine 7.54 mg/60.81cm2 patch, listed with the FDA by Achelon, Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Achelon Lidocaine Patch (Lidocaine Patch 4%).
- What is the active ingredient?
- Lidocaine.
- Who is the labeler?
- Achelon, Inc, NDC labeler code 84209. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Achelon Lidocaine Patch?
- 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.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| DOCTORS TOUCH Erase The Painmenthol | Menthol 50 mg/mL | LiquidTopical | DOCTOR'S CHOICE MEDICAL, LLC | 80045-396 |
| 4x Medicated Severe Toothache and Gum Gelbenzalkonium chloride | Benzalkonium chloride .13 g/100g + 3 more ingredients | GelOral | Meijer | 79481-0610 |
| Anti Itch Soothing 1 Pramoxine Hydrochloridepramoxine hydrochloride | Pramoxine hydrochloride 10 mg/mL | SprayTopical | The Honey Pot Company LLC | 82637-9370 |
| Dermfree Numbinglidocaine4% numbing | Lidocaine 4 g/100g | CreamTopical | Jiangxi Yudexi Pharmaceutical Co., LTD | 85248-121 |
| Aemerry Numbing Creammenthol 5% | Menthol 2.5 g/50g | CreamTopical | Da Capo Prima LLC | 87615-002 |
| Salonpascamphor, menthol, methyl salicylate | Camphor (Synthetic) 86.24 mg/1 + 2 more ingredients | PatchPercutaneous, Topical, Transdermal | Hisamitsu Pharmaceutical Co., Inc. | 46581-210 |
| Rite Aid Pain Relieving Roll-Onlidocaine hcl | Lidocaine 4 g/mL | LiquidTopical | Rite Aid Corporation | 11822-9989 |
| MyDerm Medical 5 Lidocaine Numbing Roll-Onlidocaine | Lidocaine 5 g/100g | StickTopical | Inspec Solutions | 72667-285 |
| DCH Labs Cool and Heat Roll-Onmenthol 16% | Menthol 16 g/100g | LiquidTopical | Derma Care Research Labs, LLC | 72839-101 |
| Kroger Muscle Rub Creammenthol, camphor, methyl salicylate | Camphor (Synthetic) 40 mg/g + 2 more ingredients | CreamTopical | Kroger Co. | 30142-427 |
| Premieres Painmenthol | Menthol 7 g/100mL | SprayTopical | Premiere Enterprises | 32472-102 |
| ICY Hot Pro No Mess Two Packcamphor, menthol | Camphor (Synthetic) 11 g/100g; Menthol 6 g/100g | CreamTopical | Chattem, Inc. | 41167-7181 |
| Hydrocortisone Cream 1%hydrocortisone cream 1% with aloe | Hydrocortisone 1 g/100g | CreamTopical | Publix Super Markets Inc. | 41415-330 |
| Burn Relieflidocaine | Lidocaine .64 g/127g | Aerosol, SprayTopical | AmerisourceBergen Drug Corporation | 46122-555 |
| diphenhydramine hcl and zinc acetatediphenhydramine hydrochloride, zinc acetate | Diphenhydramine hydrochloride 2 g/100g; Zinc acetate .1 g/100g | CreamTopical | Padagis Israel Pharmaceuticals Ltd | 45802-358 |
| New Terocinmethyl salicylate, capsaicin, and menthol | Methyl salicylate 25 g/100mL + 2 more ingredients | LotionTopical | A-S Medication Solutions | 50090-1353 |
| Burn Relief Professional Bio-Koollidocaine - 4% | Lidocaine 4 g/100g | CreamTopical | Kool-Down Inc. | 61566-201 |
| Hydrocortisoneanti itch | Hydrocortisone .0102 g/g | OintmentTopical | NeilMed Pharmaceuticals Inc | 13709-316 |
| ZHI Technologieslidocaine, menthol | Lidocaine 4 g/100g; Menthol 1 g/100g | PatchTransdermal | ZHI Technologies, Inc. | 87965-001 |
| Lidocaine Pain Relief | Lidocaine 560 mg/1 | PatchTopical | PAI Holdings, LLC dba PAI Pharma | 0121-0970 |
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