Over-the-counter drug · OTC MONOGRAPH DRUG

Pain Relief Patches (Lidocaine) NDC 46122-450

Lidocaine 4 g/100g · Patch · Topical · Amerisource Bergen

NDC codes

FDA NDC Directory
Product NDC (as listed)46122-450Labeler and product segments. Claims need a package NDC.
Product NDC at billing width46122-0450Add 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
46122-450-2146122045021461220450215 PATCH in 1 CARTON (46122-450-21) / 9 g in 1 PATCHMarketed from Jul 1, 2017

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)
Pain Relief Patches
Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine — 4 g/100g
Dosage form
Patch
Route
Topical
Labeler
Amerisource BergenNDC labeler code 46122
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Marketing end
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 46122-450_3e87ee42-6c58-80b1-e063-6294a90a284dSPL ID 3e87ee42-6c58-80b1-e063-6294a90a284dSPL set ID 614f1e56-891f-4620-be10-0c075a1dbc3fRxCUI 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

N446122045021 followed by a unit qualifier and the quantity

Package 46122-0450-21. 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 46122-450

What is NDC 46122-450?
46122-450 is the product NDC for Pain Relief Patches (lidocaine), Lidocaine 4 g/100g patch, listed with the FDA by Amerisource Bergen. It has 1 package NDC, 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?
Amerisource Bergen, NDC labeler code 46122. 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/100gPatchTopicalWalgreen Company0363-911000363-9110-0500363-9110-0600363-9110-08+1 more
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/100gPatchTopicalWALMART STORES INC49035-13649035-0136-06
Pain Relief PatcheslidocaineLidocaine 4 g/100gPatchTopicalAhold U.S.A., Inc,60000-91160000-0911-05

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
Stopain Extra Strength ContinuousmentholMenthol 80 mg/mLSprayTopicalTroy Manufacturing, Inc.63936-4850
Fast Freeze Pain Relievingmenthol, unspecified formMenthol, Unspecified form 33 mg/mLGelTopicalNATURAL ESSENTIALS, INC.66902-116
Walgreens Pain ReliefbenzocaineBenzocaine 200 mg/gGelOralWalgreens Company0363-5061
Blt 2lidocaine hclLidocaine hydrochloride 4 g/100gOintmentTopicalCENTURA PHARMACEUTICALS INC70372-728
Lidocaine 4% Patchlidocaine 4%Lidocaine 40 mg/gPatchTopicalV2 Pharma, LLC72835-400
Just Cbd Roll-On CoolingmentholMenthol 4 g/100mLGelTopicalJust Brands LLC73647-400
Magsoothium Body Cooling FormulamentholMenthol 5 g/100mLCreamTopicalUbu/Elements, Inc.83262-002
Rapid Reliefpain relief patch camphor 110mg menthol 33mg capsicum extract 22mgLevomenthol .3 g/100g + 2 more ingredientsPatchTopicalRAPID AID VIET NAM COMPANY LIMITED83569-015
Terramed Just Think Comfort Hydrocortisone 1% CreamhydrocortisoneHydrocortisone 10 mg/gCreamTopicalRida LLC83004-051
Tktalker NumbingnumbingLidocaine 4 g/100gCreamTopicalShenzhen Shandian Jingling Technology Co., Ltd.83804-113
Herb Street Backache and Sore Muscle ReliefmentholMenthol .1 g/gStickTopicalBalassa Laboratories Inc.10107-432
CBD Pain Relief Creamtrolamine salicylateTrolamine salicylate 100 mg/gCreamTopicalAllure Labs62742-4198
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
Hush AnestheticlidocaineLidocaine 40 mg/gGelTopicalHUSH Anesthetic49947-002
Jointivatrolamine salicylate 10%Trolamine salicylate 10 g/100gCreamTopicalRising Pharma Holdings, Inc.57237-355
Stopain Clinicalmenthol, unspecified formMenthol, Unspecified form 100 mg/gGelTopicalTroy Manufacturing, Inc.63936-0975
Coralite Lidocaine 4% Flexible Pain Relief Patch 1ctlidocaine pain patchLidocaine 40 mg/gPatchTopicalUnited Exchange Corp65923-579
Desert Harvest RELEVEUMlidocaineLidocaine 40 mg/mLCreamTopicalDesert Harvest Inc.69145-201
A Health Itch Relief Gelitch relief gelDiphenhydramine hydrochloride 2 mg/100mLGelTopicalBionpharma, Inc.69452-496
Hempvana Maximum Strength Pain Relief Cream 10% Trolamine Salicylatetrolamine salicylateTrolamine salicylate 10 g/100gCreamTopicalTELEBRANDS CORP73287-032

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