NDC codes

FDA NDC Directory
Product NDC (as listed)59088-317Labeler and product segments. Claims need a package NDC.
Product NDC at billing width59088-0317Add 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
59088-317-075908803170785 g in 1 TUBE (59088-317-07)Marketed from Jun 3, 2024

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)
Lidotral 3.88 Percent Plus Hydrocortisone 1 Percent Cream
Generic name (nonproprietary)
lidocaine hcl, hydrocortisone acetate
Active ingredients
Lidocaine hydrochloride — 38.8 mg/gHydrocortisone acetate — 10 mg/g
Dosage form
Cream
Route
Topical
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Corticosteroid Hormone Receptor Agonists (Mechanism)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 59088-317_1a01b416-2ca4-c7fa-e063-6394a90a341bSPL ID 1a01b416-2ca4-c7fa-e063-6394a90a341bSPL set ID 1a01b416-2ca5-c7fa-e063-6394a90a341bRxCUI 2683735UNII V13007Z41A, 3X7931PO74
Pharmacologic class
Amide Local Anesthetic; Antiarrhythmic; Corticosteroid

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

N459088031707 followed by a unit qualifier and the quantity

Package 59088-0317-07. 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: For the temporary relief of pain and itching associated with minor burns, sunburns or minor skin irritations or hemorrhoids and itching associated with inflammation, and rashes due to eczema.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

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