Prescription drug · UNAPPROVED DRUG OTHER
Lidocaine HCl - Hydrocortisone Acetate with Aloe NDC 59088-817
lidocaine hcl and hydrocortisone acetate · Lidocaine hydrochloride 28 mg/g; Hydrocortisone acetate 5.5 mg/g · Gel · Rectal · PureTek Corporation
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 59088-817-01 | 59088081701 | 1 TUBE in 1 KIT (59088-817-01) / 100 g in 1 TUBE (59088-817-07)Marketed from Jul 1, 2011 | |
| 59088-817-07 | 59088081707 | 100 g in 1 TUBE (59088-817-07)Marketed from Jul 1, 2011 |
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)
- Lidocaine HCl - Hydrocortisone Acetate with AloeSuffix: with Aloe
- Generic name (nonproprietary)
- lidocaine hcl and hydrocortisone acetate
- Active ingredients
- Lidocaine hydrochloride — 28 mg/gHydrocortisone acetate — 5.5 mg/g
- Dosage form
- Gel
- Route
- Rectal
- Labeler
- PureTek Corporation
- 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 59088-817_2b4af474-aece-35c6-e063-6294a90ae7ddSPL ID 2b4af474-aece-35c6-e063-6294a90ae7ddSPL set ID 454b8854-44d9-4cdb-a2e4-a782e36bed80RxCUI 1012221UNII V13007Z41A, 3X7931PO74UPC 0731477251779
- 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 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
N459088081701followed by a unit qualifier and the quantityPackage 59088-0817-01. 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: Product is used for the anti-inflammatory and anesthetic relief of itching, pain, soreness and discomfort due to hemorrhoids, anal fissures, pruritus ani and similar conditions of the anal area.
Excerpt only. Read the full label for complete information.