NDC codes

FDA NDC Directory
Product NDC (as listed)84991-0208Labeler and product segments. Claims need a package NDC.
Product NDC at billing width84991-0208Add 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
84991-0208-1849910208013 POUCH in 1 BOX (84991-0208-1) / 5 PATCH in 1 POUCH / 8.5 g in 1 PATCHMarketed from Dec 24, 2024
84991-0208-5849910208055 PATCH in 1 POUCH (84991-0208-5) / 8.5 g in 1 PATCHMarketed from Dec 24, 2024

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Olu Pain Management
Generic name (nonproprietary)
lidocaine and camphor
Active ingredients
Camphor (Natural).01 g/gLidocaine.04 g/g
Dosage form
Patch
Route
Cutaneous
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 84991-0208_2d94d820-91eb-3b5e-e063-6394a90a1a42SPL ID 2d94d820-91eb-3b5e-e063-6394a90a1a42SPL set ID 2a41a621-c6f7-5819-e063-6394a90ae67dRxCUI 2700664UNII N20HL7Q941, 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 drug-specific HCPCS code in Med-Code's directory for this product. The directory is curated and not complete — check the current CMS HCPCS file before billing.

NDC on a medical claim

N484991020801 followed by a unit qualifier and the quantity

Package 84991-0208-01. 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 muscle pain and joint pain associated with: -Backache -Cramps -Soreness -Strains -Discomfort -Neckache

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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
Topcare Pain Relief Patchpain relief patch medicated 5% mentholMenthol 5 g/100gPatchTopical7616276162-999
Dit Da Shuimenthol and methyl salicylateMenthol 100 mg/mL; Methyl salicylate 50 mg/mLLiquidTopicalBig 5 Nutrition LLC82198-0006
GREEN GUARD Topical Pain Relieflidocaine hciLidocaine hydrochloride 20 mg/mLSprayTopicalUltra Distributors Inc78495-132
Medicated Body PowdermentholMenthol .42 g/283gPowderTopicalWalmart Stores Inc79903-724
lidocaine pain relief patcheslidocaineMenthol 1.8 g/100g; Lidocaine 5 g/100gPatchTopicalChangsha Maocheng Trading Co., Ltd84876-101
Pain Relief Gel-Patchlidocaine 4%Lidocaine 4 g/100gPatchTopicalSportpharm LLC85766-153
Rugged Fit Pain Relief Roll Onmenthol, methyl salicylateMenthol 2 g/100mL; Methyl salicylate 10 g/100mLGelTopicalSYSTEM4BOOK LLC85826-041
Rite Aid Lidocaine Patch XLargelidocaineLidocaine 4 g/100gPatchTopicalRite Aid Corporation11822-9992
Salonpascamphor, menthol, methyl salicylateCamphor (Synthetic) 86.24 mg/1 + 2 more ingredientsPatchPercutaneous, Topical, TransdermalHisamitsu Pharmaceutical Co., Inc.46581-210
NeuroNesic Pain Relieving CreamcapsaicinCapsaicin .1 g/100gCreamCutaneousBlaine Labs Inc.63347-999
Walgreens Lidocaine BacklidocaineLidocaine 40 mg/gPatchTopicalWalgreen Co.0363-2178
Muscle Rub Creammenthol 10%, methyl salicylate 15%Menthol 10 g/100g; Methyl salicylate 15 g/100gCreamTopicalTrifecta Pharmaceuticals USA, LLC.69396-110
Walgreens Cold Therapy Pain Relief Patchmenthol 5%Menthol 5 g/100gPatchTopicalWalgreens Company0363-9950
Aveeno Hydrocortisone ANTI-ITCHhydrocortisoneHydrocortisone 10 mg/gCreamTopicalKenvue Brands LLC69968-0511
MyDerm Aloe and LidocainelidocaineLidocaine hydrochloride .5 g/100mLGelTopicalInspec Solutions LLC.72667-283
4 Lidocaine Topical AnestheticlidocaineLidocaine 40 mg/gCreamTopicalRUGBY LABORATORIES0536-1267
Lidocaine Numbing CreamlidocaineLidocaine 50 mg/mLCreamTopicalYYBA Corp73581-105
Menthol, CamphorMenthol 3 g/100g; Camphor (Natural) 3 g/100gCreamTopicalEROS GLOBAL80465-003
Menthol pain relief patchesmentholCapsaicin .25 g/100g; Menthol 5 g/100gPatchTopicalMenthol pain relief patch84876-005
Sting Relief SwabbenzocaineMenthol, Unspecified form .006 g/.6mL; Benzocaine .12 g/.6mLSwabTopical4 Visions LLC87251-008

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