NDC codes

FDA NDC Directory
Product NDC (as listed)63629-5094Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63629-5094Add 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
63629-5094-16362950940130 POUCH in 1 CARTON (63629-5094-1) / 1 g in 1 POUCHMarketed from Sep 20, 2013
63629-5094-2636295094023 POUCH in 1 CARTON (63629-5094-2) / 1 g in 1 POUCHMarketed from Sep 20, 2013
63629-5094-3636295094039 POUCH in 1 CARTON (63629-5094-3) / 1 g in 1 POUCHMarketed from Sep 20, 2013
63629-5094-46362950940410 POUCH in 1 CARTON (63629-5094-4) / 1 g in 1 POUCHMarketed from Sep 20, 2013
63629-5094-56362950940514 POUCH in 1 CARTON (63629-5094-5) / 1 g in 1 POUCHMarketed from Apr 14, 2021

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
Topical
Labeler
Bryant Ranch PrepackNDC labeler code 63629
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 200675
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 63629-5094_c6770218-eb44-4dc9-8d8d-b206e584ed93SPL ID c6770218-eb44-4dc9-8d8d-b206e584ed93SPL set ID 6d7fdc43-e493-449e-9af6-825e584b547aRxCUI 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 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

N463629509401 followed by a unit qualifier and the quantity

Package 63629-5094-01. 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 .

Full label on DailyMed (opens in a new tab)

About NDC 63629-5094

What is NDC 63629-5094?
63629-5094 is the product NDC for Lidocaine, Lidocaine 50 mg/g patch, listed with the FDA by Bryant Ranch Prepack. It has 5 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidocaine.
What is the active ingredient?
Lidocaine.
Who is the labeler?
Bryant Ranch Prepack, NDC labeler code 63629. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lidocaine?
156 other product NDCs are listed under this name. See all Lidocaine 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 Lidocaine NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
LidocaineLidocaine 50 mg/gOintmentTopicalDirect_Rx72189-69272189-0692-50
LidocaineLidocaine 50 mg/gOintmentTopicalPreferred Pharmaceuticals Inc.68788-419568788-4195-05
LidocaineLidocaine 50 mg/gPatchTopicalAscend Laboratories, LLC67877-76767877-0767-30
LidocaineLidocaine 80 mg/mLSprayTopicalYYBA CORP73581-90073581-0900-01
LidocaineLidocaine 50 mg/gOintmentTopicalAdvanced Rx of Tennessee, LLC80425-059480425-0594-01
Lidocainelidocaine hydrochlorideLidocaine hydrochloride 20 mg/mLJellyTopicalSentiss Pharmaceuticals LLC70244-03970244-0039-0170244-0039-02
LidocaineLidocaine 100 kg/100kgGranuleTopicalShaanxi Shuvita Biotech Co., Ltd87879-00287879-0002-02
LidocainelidicaineLidocaine 50 mg/gOintmentTopicalEncube Ethicals, Inc.21922-10721922-0107-1321922-0107-61
LidocaineLidocaine hydrochloride 50 mg/mLGelTopicalYYBA Corp73581-11573581-0115-03
LidocaineLidocaine 5 g/100mLCreamTopicalYYBA Corp73581-02273581-0022-06

All 157 Lidocaine NDCs

Other NDCs under ANDA 200675

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

FDA NDC Directory listings under ANDA 200675
ProductStrengthForm · routeLabelerProduct NDC
LidocaineLidocaine 50 mg/gPatchTopicalActavis Pharma, Inc.0591-2679
LidocaineLidocaine 50 mg/gPatchTopicalActavis Pharma, Inc.0591-3525
LidocaineLidocaine 50 mg/gPatchCutaneousCardinal Health 107, LLC55154-2665
LidocaineLidocaine 50 mg/gPatchTopicalPureTek Corporation59088-396
LidocaineLidocaine 50 mg/gPatchCutaneousBryant Ranch Prepack63629-7059
LidocaineLidocaine 50 mg/gPatchTopicalBryant Ranch Prepack63629-8755
LidocaineLidocaine 50 mg/gPatchTopicalAsclemed USA, Inc.76420-037
Tridacaine IIlidocaineLidocaine 50 mg/gPatchTopicalTrifluent Pharma LLC73352-830

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