Over-the-counter drug · OTC MONOGRAPH DRUG
Burn Cream (Benzalkonium chloride, lidocaine hci) NDC 69396-105
Lidocaine hydrochloride .005 g/g; Benzalkonium chloride .0013 g/g · Cream · Topical · Trifecta Pharmaceuticals USA LLC
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69396-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0105Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69396-105-09 | 6939601050969396010509 | 144 PACKET in 1 CARTON (69396-105-09) / .9 g in 1 PACKETMarketed from Sep 27, 2022 |
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)
- Burn Cream
- Generic name (nonproprietary)
- benzalkonium chloride, lidocaine hci
- Active ingredients
- Lidocaine hydrochloride — .005 g/gBenzalkonium chloride — .0013 g/g
- Dosage form
- Cream
- Route
- Topical
- Labeler
- Trifecta Pharmaceuticals USA LLCNDC labeler code 69396
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 003
- Marketing start
- Listing expires
- Other FDA classes
- Amides (Chemical structure)Local Anesthesia (Physiologic effect)
- Identifiers
- Product ID 69396-105_5b10d396-540d-e3b2-e063-6394a90ab26eSPL ID 5b10d396-540d-e3b2-e063-6394a90ab26eSPL set ID e9a9fc7c-31da-ea3f-e053-2a95a90a0eabRxCUI 1012100UNII V13007Z41A, F5UM2KM3W7UPC 0850026393477
- 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
N469396010509followed by a unit qualifier and the quantityPackage 69396-0105-09. 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)
Uses Temporary Relief of pain associated with minor cuts, scrapes and burns. Helps protect against harmful bacteria.
Excerpt only. Read the full label for complete information.
About NDC 69396-105
- What is NDC 69396-105?
- 69396-105 is the product NDC for Burn Cream, Lidocaine hydrochloride .005 g/g; Benzalkonium chloride .0013 g/g cream, listed with the FDA by Trifecta Pharmaceuticals USA LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Burn Cream (Benzalkonium Chloride, Lidocaine HCI).
- What is the active ingredient?
- Lidocaine hydrochloride, Benzalkonium chloride.
- Who is the labeler?
- Trifecta Pharmaceuticals USA LLC, NDC labeler code 69396. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
- What other NDCs exist for Burn Cream?
- 7 other product NDCs are listed under this name. See all Burn Cream NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Burn Cream products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| Burn Creambenzalkonium chloride, lidocaine hci | Benzalkonium chloride .0013 g/g; Lidocaine hydrochloride .005 g/g | CreamTopical | Prostat First Aid | 58228-7000 | 58228-7000-01 |
| Burn Creambenzalkonium chloride, lidocaine hci | Benzalkonium chloride .0013 g/g; Lidocaine hydrochloride .005 g/g | CreamTopical | Prostat First Aid | 58228-7010 | 58228-7010-0158228-7010-02 |
| Burn Creambenzalkonium chloride, lidocaine hci | Benzalkonium chloride .0013 g/g; Lidocaine hydrochloride .005 g/g | CreamTopical | Prostat First Aid | 58228-7080 | 58228-7080-01 |
| Burn Creambenzalkonium chloride, lidocaine hci | Lidocaine hydrochloride .005 g/g; Benzalkonium chloride .0013 g/g | CreamTopical | Trifecta Pharmaceuticals USA LLC | 69396-146 | 69396-0146-1069396-0146-25 |
| Burn Creambenzalkonium chloride, lidocaine hci | Lidocaine hydrochloride .005 g/g; Benzalkonium chloride .0013 g/g | CreamTopical | Trifecta Pharmaceuticals USA LLC | 69396-136 | 69396-0136-1069396-0136-25 |
| Burn Creambenzalkonium chloride, lidocaine hci | Lidocaine hydrochloride .005 g/g; Benzalkonium chloride .0013 g/g | CreamTopical | Trifecta Pharmaceuticals USA LLC | 69396-124 | 69396-0124-09 |
| Burn Creambenzalkonium chloride, lidocaine hydrochloride | Benzalkonium chloride 1.3 mg/g; Lidocaine hydrochloride 5 mg/g | CreamTopical | Total Resources International | 55550-902 | 55550-0902-21 |
Other NDCs under M 003
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Antisepticethanol | Alcohol .62 mL/mL | GelTopical | McKesson | 68599-5322 |
| Hand sanitizer 16.9oz with vitamin Eethyl alcohol 70% | Alcohol 70 mL/100mL | LiquidTopical | Zhejiang Guoyao Jingyue Aerosol Co., Ltd. | 75742-021 |
| Mistify Pina Colada Hand Sanitezeralcohol antiseptic | Alcohol 62 mL/100mL | LiquidTopical | Kingkey MBC Life Technology Group Co.,Ltd | 73928-178 |
| Solar Flare Hand Sanitizer Sunset Sambaalcohol | Alcohol 62 mL/100mL | SprayTopical | Scent Theory Products LLC | 76891-153 |
| Klean Freakbenzalkonium chloride | Benzalkonium chloride .13 g/100g | ClothTopical | KLEAN FREAK, LLC | 78982-005 |
| Guardellebenzalkonium chloride | Benzalkonium chloride .13 g/100mL | Aerosol, FoamTopical | Social Medical Supply LLC | 85754-000 |
| RITE AID Maximum strength pain relievingbenzalkonium chloride and lidocaine hydrochloride | Benzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mL | LiquidTopical | RITE AID | 11822-7220 |
| Hand Sanitizer | Alcohol 70 mL/100mL | GelExtracorporeal | Zhejiang Meimi Technology Co., Ltd. | 41366-055 |
| Smart Care Cucumber Melon Hand Sanitizeralcohol | Alcohol 70 mL/100mL | SprayTopical | Shenzhen Lantern Scicence Co.,Ltd. | 54860-509 |
| Walgreen Maximum strength pain relieving cleansingbenzalkonium chloride and lidocaine hydrochloride | Benzalkonium chloride .13 g/100mL; Lidocaine hydrochloride 4 g/100mL | LiquidTopical | WALGREENS CO. | 0363-7020 |
| American Red Cross 70% Ethyl Alcohol Hand Sanitizerethyl alcohol | Alcohol 70 mL/100mL | GelTopical | Zhejiang Guoyao Jingyue Aerosol Co., Ltd | 75742-018 |
| Thompson Burn Cream with Lidocainebenzalkonium chloride, lidocaine | Lidocaine hydrochloride 5 mg/g; Benzalkonium chloride 1.3 mg/g | CreamTopical | Thompson Safety | 73408-160 |
| Scentfull Hand Sanitizer Whipped Coconutalcohol | Alcohol 62 mL/100mL | SprayTopical | Scent Theory Products LLC | 76891-150 |
| Klean Freakbenzalkonium chloride | Benzalkonium chloride .13 g/100g | ClothTopical | KLEAN FREAK, LLC | 78982-002 |
| Hand Sanitizeralcohol 62% | Alcohol .62 g/g | GelTopical | Guangzhou Ailizhuangsi Cosmetics Co., Ltd. | 87910-009 |
| Obstetrical Towelettebenzalkonium chloride | Benzalkonium chloride 1.3 mg/g | ClothTopical | Jianerkang Medical Co., Ltd | 34645-0015 |
| Hand Sanitizer | Alcohol 70 mL/100mL | GelExtracorporeal | Zhejiang Meimi Technology Co., Ltd. | 41366-052 |
| Ashley Belle 1 oz., Moisturizing Hand Sanitizing, Hibiscus Nectarethyl alcohol | Alcohol 70 mL/100mL | SprayTopical | MY IMPORTS USA LLC | 51628-4563 |
| Soft Touch Plus Antibacterial Hand Item 1039chloroxylenol | Chloroxylenol .3 g/100mL | SoapTopical | AMERICAN CHEMICAL AND SANITARY SUPPLY INC | 50536-139 |
| Hydrogen Peroxide | Hydrogen peroxide 30 mg/mL | SolutionTopical | Perrigo Direct, Inc | 50804-871 |
Showing 20 of 40.