Over-the-counter drug · OTC MONOGRAPH DRUG

Pain Relief Patches (Lidocaine) NDC 0363-9110

Lidocaine 4 g/100g · Patch · Topical · Walgreen Company

NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9110Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9110Add 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
0363-9110-05003639110055 PATCH in 1 CARTON (0363-9110-05) / 9 g in 1 PATCHMarketed from Mar 1, 2019
0363-9110-06003639110066 PATCH in 1 CARTON (0363-9110-06) / 9 g in 1 PATCHMarketed from Mar 1, 2018
0363-9110-08003639110088 PATCH in 1 CARTON (0363-9110-08) / 9 g in 1 PATCHMarketed from Oct 1, 2024
0363-9110-57003639110577 PATCH in 1 CARTON (0363-9110-57) / 9 g in 1 PATCHMarketed from Oct 1, 2024

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)
Pain Relief Patches
Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine — 4 g/100g
Dosage form
Patch
Route
Topical
Labeler
Walgreen CompanyNDC labeler code 0363
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 0363-9110_24853377-8763-a27d-e063-6394a90a35f6SPL ID 24853377-8763-a27d-e063-6394a90a35f6SPL set ID 1a587e6e-88d1-4b01-abad-9a365dc64a4dRxCUI 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

N400363911005 followed by a unit qualifier and the quantity

Package 00363-9110-05. 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)

Idications and Usage Uses: Temporaily relieves minor pains.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-9110

What is NDC 0363-9110?
0363-9110 is the product NDC for Pain Relief Patches (lidocaine), Lidocaine 4 g/100g patch, listed with the FDA by Walgreen Company. It has 4 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Relief Patches (Lidocaine).
What is the active ingredient?
Lidocaine.
Who is the labeler?
Walgreen Company, NDC labeler code 0363. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Pain Relief Patches?
10 other product NDCs are listed under this name. See all Pain Relief Patches 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 Pain Relief Patches NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Pain Relief Patcheslidocaine—KitTopicalWalgreen Company0363-911600363-9116-06
Pain Relief Patchescamphor, menthol, methyl salicylateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalCardinal Health, 110 dba LEADER70000-036870000-0368-01
Pain Relief Patchescamphor, menthol, methyl salicylateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalHarris Teeter72036-90772036-0907-60
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalHarris Teeter72036-91172036-0911-05
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalLiberty Procurement, In63940-91163940-0911-05
Pain Relief Patchescamphor, menthol, methyl salicylateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalWalgreen Company0363-090700363-0907-60
Pain Relief Patchescamphor, menthol, methyl salicylateCamphor (Synthetic) 3.1 g/100g + 2 more ingredientsPatchTopicalAmerisource Bergen46122-39246122-0392-60
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalAhold U.S.A., Inc,60000-91160000-0911-05
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalWALMART STORES INC49035-13649035-0136-06
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalAmerisource Bergen46122-45046122-0450-21

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
Pain No More Therapymenthol camphorMenthol .03 g/g; Camphor (Synthetic) .03 g/gGelTopicalSOMBRA COSMETICS INC.61577-7365
Diphenhydramine Hydrochloride and Zinc AcetateDiphenhydramine hydrochloride 20 mg/g; Zinc acetate 1 mg/gCreamTopicalSTRATEGIC SOURCING SERVICES LLC70677-1213
MyDerm Aloe and LidocainelidocaineLidocaine hydrochloride .5 g/100mLGelTopicalInspec Solutions LLC.72667-283
DCH Labs Cool and Heat Roll-Onmenthol 16%Menthol 16 g/100gLiquidTopicalDerma Care Research Labs, LLC72839-101
Mineral Ice Extreme Dry StickmentholMenthol 16 g/100gStickTopicalCarlin Consumer Health LLC82632-250
Thera Plus Maximum Strength HydrocortisonehydrocortisoneHydrocortisone 10 mg/gCreamTopicalFourstar Group USA, Inc80684-197
Sylvirene Numbingmenthol 5% numbingMenthol 5 g/100gCreamTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-163
PHIZICO Pain ReliefmentholMenthol 10 mg/mLCreamTopicalER3 BRANDS INC.85832-621
Arthritis Relief GoodSensetrolamine salicylateTrolamine salicylate 10 g/100gCreamTopicalGeiss, Destin & Dunn, Inc50804-207
Sore No More Cool TherapymentholMenthol .06 g/gGelTopicalSOMBRA COSMETICS INC.61577-3235
Maximum Strength Cortisone Cream with Aloehydrocortisone creamHydrocortisone 1 g/100gCreamTopicalCVS Pharmacy69842-630
MyDerm Pro Freeze Cooling Menthol Pain Relief Roll-OnmentholMenthol 6 g/100gGelTopicalInspec Solutions72667-073
Mineral Ice Extreme Menthol Pain ReliefmentholMenthol 105 mg/mLLiquidTopicalCarlin Consumer Health LLC82632-252
Lidocainelidocaine, mentholLidocaine .4 g/10g; Menthol .1 g/10gPatchTransdermalVive Health LLC84722-3041
Serynth Nicotine Transdermal Stop Smoking Aidnicotine21mg nicotine transdermal stop smoking aidNicotine 21 mg/1001PatchTopicalJiangxi Yudexi Pharmaceutical Co., LTD85248-164
Astrapharm Chilli BrandcapsaicinCapsaicin .25 g/100gPlasterTopicalDersan Pharmaceutical Co., Ltd11993-000
HydrocortisoneHydrocortisone 1 g/100gCreamTopicalEncube Ethicals, Inc.21922-096
hydrocortisoneHydrocortisone 1 g/100gCreamTopicalPadagis Israel Pharmaceuticals Ltd45802-438
Zims Max Freeze Pro Formulamenthol, unspecified formMenthol, Unspecified form 70 mg/gGelTopicalKOBAYASHI Healthcare International, Inc.54273-006
Re-LevementholMenthol .06 g/gGelTopicalSOMBRA COSMETICS INC.61577-3242

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