NDC codes

FDA NDC Directory
Product NDC (as listed)11822-0615Labeler and product segments. Claims need a package NDC.
Product NDC at billing width11822-0615Add 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
11822-0615-9118220615091 TUBE in 1 CARTON (11822-0615-9) / 7 g in 1 TUBEMarketed from May 6, 2020

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

Generic name (nonproprietary)
benzocaine
Active ingredients
Benzalkonium chloride — .13 g/100gZinc chloride — .15 g/100gMenthol — .5 g/100gBenzocaine — 20 g/100g
Dosage form
Gel
Route
Oral
Labeler
Rite AidNDC labeler code 11822
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 022
Marketing start
Marketing end
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 11822-0615_437ffe13-51f2-ebce-e063-6394a90a0185SPL ID 437ffe13-51f2-ebce-e063-6394a90a0185SPL set ID 99703bf4-f169-5e05-e053-2995a90afab4RxCUI 2369638UNII F5UM2KM3W7, 86Q357L16B, L7T10EIP3A, U3RSY48JW5
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 HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N411822061509 followed by a unit qualifier and the quantity

Package 11822-0615-09. 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)

Warnings Methemoglobinemia warning: use of this product ay cause methemoglobinemia, a serious condition that must be treated promptly because it reduces the amount of oxygen carried in teh blood. This can occur even if you have used this product before. Stop use and seek immediate medical attention if you or a child in your care develops: * pale, gray, or blue colored skin (cyanosis) * headache * rapid heart rate * shortness of breath * dizziness or lightneadedness * fatigue or lack of energy Allergy Alert do not use this product if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other "caine" anesthetics Do not use * more than directed * for mor…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 11822-0615

What is NDC 11822-0615?
11822-0615 is the product NDC for 4X Medicated Severe Toothache and Gum Gel, Benzalkonium chloride .13 g/100g + 3 more ingredients gel, listed with the FDA by Rite Aid. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
4X Medicated Severe Toothache and Gum Gel (Benzocaine).
What is the active ingredient?
Benzalkonium chloride, Zinc chloride, Menthol, Benzocaine.
Who is the labeler?
Rite Aid, NDC labeler code 11822. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for 4X Medicated Severe Toothache and Gum Gel?
1 other product NDC are listed under this name. See all 4X Medicated Severe Toothache and Gum Gel 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 4X Medicated Severe Toothache and Gum Gel NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
4x Medicated Severe Toothache and Gum Gelbenzalkonium chlorideBenzalkonium chloride .13 g/100g + 3 more ingredientsGelOralMeijer79481-061079481-0610-09

Other NDCs under M 022

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under M 022
ProductStrengthForm · routeLabelerProduct NDC
Alpha-Caine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDental, PeriodontalDental Technologies, Inc.55346-2903
LISTERINE Original Antisepticeucalyptol, menthol, unspecified form, methyl salicylate, and thymolEucalyptol .92 mg/mL + 3 more ingredientsMouthwashOralKenvue Brands LLC69968-0400
Lolleez WatermelonpectinPectin 11.5 mg/7gLozengeOralBFY LLC72427-3295
meijer Sensitive FRESH MINTpotassium nitrate, sodium fluoridePotassium nitrate 5 g/100g; Sodium fluoride .24 g/100gPaste, DentifriceDentalMeijer, Inc.79481-0039
parodontax Active Gum Repair Whiteningstannous fluorideStannous fluoride 1.1 mg/gPasteDentalHaleon US Holdings LLC0135-0638
Opalescence Sensitivity Relief Whiteningpotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 1.1 mg/gGel, DentifriceDentalUltradent Products, Inc.51206-308
Sensitivity Relief Fluoride Freepotassium nitratePotassium nitrate 50 mg/gPaste, DentifriceDentalHealth and Natural Beauty USA Corp63404-2105
Sucrets Sore Throat Wild Cherrydyclonine hydrochlorideDyclonine hydrochloride 2 mg/1LozengeOralInsight Pharmaceuticals LLC63736-560
BencoCaine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalBenco Dental66975-356
Lemon GlyceringlycerinGlycerin .3 g/4gSwabOralDynarex Corporation67777-161
Anesgerm LA MUELA Fast Pain Reliefbenzocaine 20%Benzocaine 200 mg/mLLiquidTopicalGerma Products, LLC73635-7101
SENSODYNE PRONAMEL Intensive Enamel Repair Extra Freshpotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 1.15 mg/gPasteOralHaleon US Holdings LLC0135-0486
UltraCare Anesthetic GelbenzocaineBenzocaine 200 mg/gGelDental, Periodontal, TopicalThe Bellport Company, Inc. dba Gingi-Pak10129-071
Opal by Opalescence Sensitivitypotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 1.1 mg/gGel, DentifriceDentalUltradent Products, Inc.51206-311
Alpha-Caine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDental, PeriodontalDental Technologies, Inc.55346-2901
Sensitivity and Gum with Cavity Protectionpotassium nitrate and sodium fluoridePotassium nitrate 50 mg/g; Sodium fluoride 7.6 mg/gPaste, DentifriceDentalHealth and Natural Beauty USA Corp63404-2210
Sucretsdyclonine hcl, menthol, and pectinDyclonine hydrochloride 2 mg/1 + 2 more ingredientsLozengeOralInsight Pharmaceuticals LLC63736-567
BencoCaine Topical AnestheticbenzocaineBenzocaine 200 mg/gGelDentalBenco Dental66975-357
Sore Mouth Cleanserhydrogen peroxideHydrogen peroxide 150 mg/10mLMouthwashTopicalCVS Pharmacy, Inc.69842-008
Lolleez Variety PackpectinPectin 11.5 mg/7gLozengeOralBFY LLC72427-3195

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