NDC codes

FDA NDC Directory
Product NDC (as listed)50090-1359Labeler and product segments. Claims need a package NDC.
Product NDC at billing width50090-1359Add 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
50090-1359-25009013590230 POUCH in 1 CARTON (50090-1359-2) / 1 g in 1 POUCHMarketed from Nov 28, 2014

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

Brand name (proprietary)
Lidocaine
Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine — 50 mg/g
Dosage form
Patch
Route
Cutaneous
Product type
Prescription drug
Marketing category
NDA authorized genericApplication NDA 020612
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 50090-1359_4b0fffe1-d04a-449b-bd32-406dc0d52a81SPL ID 4b0fffe1-d04a-449b-bd32-406dc0d52a81SPL set ID e23a92e6-3445-4ba7-9ad2-86a3eec1717eRxCUI 1745091UNII 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 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

N450090135902 followed by a unit qualifier and the quantity

Package 50090-1359-02. 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)

INDICATION AND USAGE LIDOCAINE PATCH 5% is indicated for relief of pain associated with post-herpetic neuralgia. It should be applied only to intact skin .

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under NDA 020612

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

FDA NDC Directory listings under NDA 020612
ProductStrengthForm · routeLabelerProduct NDC
LidocaineLidocaine 50 mg/gPatchCutaneousPar Health USA, LLC0603-1880
LidocaineLidocaine 50 mg/gPatchCutaneousAdvanced Rx Pharmacy of Tennessee, LLC80425-0404
LidocaineLidocaine 50 mg/gPatchCutaneousAsclemed USA, Inc.76420-887
Lidodermlidocaine patch 5%Lidocaine 700 mg/1PatchTopicalTPU Pharma, Inc.61959-001
LidocaineLidocaine 50 mg/gPatchCutaneousCardinal Health 107, LLC55154-7228
LidocaineLidocaine 50 mg/1PatchCutaneousREMEDYREPACK INC.70518-0566
LidocaineLidocaine 50 mg/gPatchCutaneousPreferred Pharmaceuticals Inc.68788-7159
LidocaineLidocaine 50 mg/gPatchCutaneousREMEDYREPACK INC.70518-4502
LidocaineLidocaine 50 mg/gPatchCutaneousPHOENIX RX LLC85509-2880
LidocaineLidocaine 50 mg/gPatchCutaneousDIRECT RX61919-588
LidocaineLidocaine 50 mg/gPatchCutaneousSt. Mary's Medical Park Pharmacy60760-880
LidocaineLidocaine 50 mg/gPatchCutaneousBryant Ranch Prepack71335-1934
LidocaineLidocaine 50 mg/gPatchCutaneousGolden State Medical Supply, Inc.51407-827
LidocaineLidocaine 50 mg/gPatchCutaneousQuality Care Products LLC55700-142
LidocaineLidocaine 50 mg/gPatchCutaneousSportpharm LLC85766-169

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