Over-the-counter drug · OTC MONOGRAPH DRUG
PM Toothache Relief (benzocaine) NDC 0363-1623
Benzocaine 20 g/100g + 3 more ingredients · Paste · Dental · Walgreens
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 0363-1623-09 | 00363162309 | 1 TUBE in 1 BOX (0363-1623-09) / 7.1 g in 1 TUBEMarketed from Oct 28, 2022 |
How the 11-digit form is made: The labeler segment has 4 digits, so one leading zero is added to it (4-4-2 → 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)
- PM Toothache Relief
- Generic name (nonproprietary)
- benzocaine
- Active ingredients
- Benzocaine — 20 g/100gMenthol — .26 g/100gZinc chloride — .15 g/100gBenzalkonium chloride — .13 g/100g
- Dosage form
- Paste
- Route
- Dental
- Labeler
- Walgreens
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 017
- Marketing start
- Listing expires
- Other FDA classes
- Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Increased Histamine Release (Physiologic effect)
- Identifiers
- Product ID 0363-1623_43956f49-90bc-5b18-e063-6294a90aad71SPL ID 43956f49-90bc-5b18-e063-6294a90aad71SPL set ID e816f742-fba9-3c12-e053-2a95a90a192fRxCUI 2370903UNII U3RSY48JW5, L7T10EIP3A, 86Q357L16B, F5UM2KM3W7
- Pharmacologic class
- Copper Absorption Inhibitor; Standardized Chemical Allergen
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
N400363162309followed by a unit qualifier and the quantityPackage 00363-1623-09. 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)
Cut open tip of tube on score mark. Adults and children 2 years of age and older: apply to affected area up to 4 times daily or as directed by a dentist or doctor. Children under 12 years of age should be supervised in the use of this product. Children under 2 years of age: do not use.
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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