NDC codes

FDA NDC Directory
Product NDC (as listed)87915-789Labeler and product segments. Claims need a package NDC.
Product NDC at billing width87915-0789Add 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
87915-789-0187915078901879150789012 POUCH in 1 BOX (87915-789-01) / 12 PATCH in 1 POUCH / .028 g in 1 PATCHMarketed from Mar 25, 2026

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)
Non-proprietary name
Generic name (nonproprietary)
headache patch
Active ingredients
Menthol, Unspecified form — 5 g/100g
Dosage form
Patch
Route
Cutaneous
Labeler
Nanjing 3H Medical Products Co.,Ltd.NDC labeler code 87915
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Identifiers
Product ID 87915-789_586d73f1-0b0c-f596-e063-6394a90a4d57SPL ID 586d73f1-0b0c-f596-e063-6394a90a4d57SPL set ID 586d73f1-0b0b-f596-e063-6394a90a4d57RxCUI 420222UNII L7T10EIP3AUPC 0628308110995

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

N487915078901 followed by a unit qualifier and the quantity

Package 87915-0789-01. 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)

• adults and children 12 years of age and older: Remove backing paper, apply to clean dry skin (temples or tension points), wear up to 8 hours, and discard after use. • apply to affected area not more than 3 to 4 times daily

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 87915-789

What is NDC 87915-789?
87915-789 is the product NDC for Non-proprietary name (headache patch), Menthol, Unspecified form 5 g/100g patch, listed with the FDA by Nanjing 3H Medical Products Co.,Ltd.. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Non-proprietary name (Headache patch).
What is the active ingredient?
Menthol, Unspecified form.
Who is the labeler?
Nanjing 3H Medical Products Co.,Ltd., NDC labeler code 87915. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Non-proprietary name?
4 other product NDCs are listed under this name. See all Non-proprietary name 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 Non-proprietary name NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Non-proprietary namecyanocobalaminCyanocobalamin 2 mg/mLInjectionIntramuscular, SubcutaneousXseer Pharmaceuticals85551-12085551-0120-30
Non-proprietary namel- arginineArginine hydrochloride 100 mg/mLInjectionIntramuscular, IntravenousXseer Pharmaceuticals85551-12385551-0123-30
Non-proprietary namealcohol prep padIsopropyl alcohol .8 g/1SwabTopicalGuangzhou Four E's Scientific Co., Ltd.83118-01083118-0010-0183118-0010-02
Non-proprietary namealcohol prep padIsopropyl alcohol 1.59 g/1SwabTopicalGuangzhou Four E's Scientific Co., Ltd.83118-01583118-0015-0183118-0015-02

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
Extra Strength Itch Reliefdiphenhydramine hcl and zinc acetateDiphenhydramine hydrochloride 20 mg/g; Zinc acetate 1 mg/gSprayTopicalMeijer Distribution Inc79481-0598
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
Meijer Pain Relieving Balm Analgesictrolamine salicylateTrolamine salicylate 10 mg/gCreamTopicalMeijer Distribution, Inc41250-356
Ralli Rapid Pain Relief Roll onmentholMenthol 100 mg/mLGelTopicalTroy Manufacturing, Inc.63936-9527
CVS Health Pain Relievingcamphor (synthetic), menthol (unspecified form), methyl salicylateCamphor (Synthetic) 28 mg/1 + 2 more ingredientsPatchTransdermalNatural Essentials, Inc.66902-280
Pbz Otctripelennamine hcl 1%Tripelennamine 1 g/100gCreamTopicalKingsway Pharmaceuticals dba NFI, LLC69993-151
HydrocortisoneHydrocortisone 1 g/100gCreamTopicalHenry Schein0404-0166
American Safety and First Aidhydrocortisone acetateHydrocortisone acetate 10 mg/gCreamTopicalOrazen Inc71927-015
MyDerm Bite ReliefbenzocaineBenzocaine 5 g/100gOintmentTopicalInspec Solutions LLC.72667-019
Thera Plus Maximum Strength HydrocortisonehydrocortisoneHydrocortisone 10 mg/gCreamTopicalFourstar Group USA, Inc80684-197
Lidocaine 4%Lidocaine 400 mg/10gPatchTransdermalMarcella Health85096-201
Tough Love Pain Relievinglidocaine hclLidocaine 4 g/100gCreamTopicalAllure Labs62742-4222
Stopain Extra Strength GelmentholMenthol 80 mg/mLGelTopicalTroy Manufacturing, Inc.63936-9506
Fast Freeze Lidocaine Roll-Onlidocaine hydrochloride, benzyl alcoholLidocaine hydrochloride 40 mg/mL; Benzyl alcohol 10 mg/mLLiquidTopicalNatural Essentials, Inc.66902-235
Walgreens pain relievinglidocaine 4%Lidocaine 4 g/100gAerosol, SprayTopicalWalgreens0363-3038
Bikini Zone Medicated CremelidocaineLidocaine 2 g/100gCreamTopicalKingsway Pharmaceuticals dba NFI, LLC69993-043
American Safety First Aidlidocaine hclLidocaine hydrochloride 20 mg/mLSprayTopicalOrazen Inc71927-012
ACOLYE Lidocaine Cream Topical Analgesia Creamlidocaine,mentholLidocaine 4 g/100g; Menthol 1 g/100gCreamTopicalGuangdong Aimu Biological Technology Co., Ltd83566-617
Healmusz Eczemahydrocortisone 1% eczemaHydrocortisone 1 g/100gCreamTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-203
ELAIMEI Numbing Creamlidocaine 4%Lidocaine 4 g/100mLCreamTopicalShenzhen Shandian Jingling Technology Co., Ltd.83804-005

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