NDC codes

FDA NDC Directory
Product NDC (as listed)0363-9903Labeler and product segments. Claims need a package NDC.
Product NDC at billing width00363-9903Add 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
0363-9903-400036399034040 POUCH in 1 BOX (0363-9903-40) / 9 g in 1 POUCHMarketed from Nov 15, 2019

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 Relieving Patches
Generic name (nonproprietary)
camphor menthol methyl salicytate
Active ingredients
Camphor (Synthetic) — 1.2 g/100gMenthol — 5.7 g/100gMethyl salicylate — 6.3 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
Identifiers
Product ID 0363-9903_298f80cb-2c7b-566a-e063-6394a90a91dfSPL ID 298f80cb-2c7b-566a-e063-6394a90a91dfSPL set ID 13486792-d3d1-4585-beb7-24720b9edaaeRxCUI 853260UNII 5TJD82A1ET, L7T10EIP3A, LAV5U5022Y

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

N400363990340 followed by a unit qualifier and the quantity

Package 00363-9903-40. 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)

INDICATIONS & USAGE For temporary relief of minor aches and pains of muscles and joins: arthritis, simple backache, muscle strains, muscle sprains and bruises.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 0363-9903

What is NDC 0363-9903?
0363-9903 is the product NDC for Pain Relieving Patches (camphor menthol methyl salicytate), Camphor (Synthetic) 1.2 g/100g + 2 more ingredients patch, listed with the FDA by Walgreen Company. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Pain Relieving Patches (Camphor menthol methyl salicytate).
What is the active ingredient?
Camphor (Synthetic), Menthol, Methyl salicylate.
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 Relieving Patches?
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.

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
White Flower Analgesic Balm Floral Scentedcamphor, menthol and methyl salicylateCamphor (Synthetic) 5.4 g/100mL + 2 more ingredientsOilTopicalHOE HIN PAK FAH YEOW MANUFACTORY LTD48256-0011
Hot/Cold Medicated Patchhot cold patchMenthol 285 mg/5700mgPatchTopicalDynarex67777-201
Walgreens Cool N Heat Patch XLmentholMenthol, Unspecified form 50 mg/gPatchTopicalWalgreen Co.0363-6672
Certain Dri Clinical Strength Prescription Protection RollonAluminum chloride 15 g/100mLLiquidTopicalClarion Brands LLC69693-734
Ultra-Strength Pain Relief Analgesiccamphor (synthetic) and menthol, unspecified formCamphor (Synthetic) 110 mg/g; Menthol, Unspecified form 110 mg/gOintmentTopicalTARGET CORPORATION82442-311
24 7 Relief and Recovery Pain Relievingmenthol, unspecified formMenthol, Unspecified form 37 mg/mLCreamTopicalTriplicare Inc87656-964
4% Lidocaine PatchesLidocaine 4 g/1001PatchTopicalShenzhen Chaoxiji Technology Co.,Ltd.87794-007
First Aid Only Hydrocortisone 1% Anti-ItchhydrocortisoneHydrocortisone 10 mg/gCreamTopicalAcme United Corporation0924-5633
equaline anti itch maximum strengthhydrocortisoneHydrocortisone 1 g/100gCreamTopicalUnited Natural Foods, Inc. dba UNFI41163-369
Hemorrhoidal Pain Relief Creamglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 144 mg/g + 3 more ingredientsCreamTopicalWALGREENS0363-9127
BLUESPRING Doctors Pain Formula Pain ReliefmentholMenthol 14 mg/mLCreamTopicalACA MANAGEMENT LLC83591-629
Menthol pain relief patchesmentholCapsaicin .25 g/100g; Menthol 5 g/100gPatchTopicalMenthol pain relief patch84876-005
PT Elite Premium Pain Reliefcapsaicin, mentholCapsaicin .35 mg/mL; Menthol 40 mg/mLCreamTopicalPT ELITE PRODUCTS LLC85808-615
Earths Care Muscle And Joint RubcamphorCamphor (Natural) 3 g/100gOintmentTopicalDLC Laboratories, Inc.24286-1563
Signature Care Aloe Vera Gel with LidocainelidocaineLidocaine hydrochloride 8 mg/gGelTopicalSafeway, Inc.21130-733
Kroger Anti ItchhydrocortisoneHydrocortisone 1 g/100gSprayTopicalThe Kroger Co30142-270
N-Labs ArcticZen Pain Relief Kneecamphor (synthetic), mentholMenthol 60 mg/g; Camphor (Synthetic) 35 mg/gPatchTopicalNutriomo Labs PTE., LTD71856-356
Cold And Hot MedicatedmentholMenthol, Unspecified form .05 g/gPatchTopicalUniversal Distribution Center LLC52000-422
Stud 100 Male Genital DesensitizerlidocaineLidocaine 9.6 mg/100mLSpray, MeteredTopicalPound International Corp57707-050
Walgreens Chest Rubcamphor, eucalyptus oil, mentholCamphor (Synthetic) 48 mg/g + 2 more ingredientsOintmentTopicalWalgreen Company0363-1001

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