Over-the-counter drug · OTC MONOGRAPH DRUG
Pain Relief Gel-Roll On (Lidocaine) NDC 69396-188
Lidocaine hydrochloride 40 g/L · Gel · Topical · Trifecta Pharmaceuticals USA
NDC codes
FDA NDC DirectoryProduct NDC (as listed)69396-188Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69396-0188Add the package segment from the table below.
| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 69396-188-01 | 6939601880169396018801 | 1 BOTTLE in 1 BOX (69396-188-01) / .073 L in 1 BOTTLEMarketed from Apr 30, 2026 | |
| 69396-188-02 | 6939601880269396018802 | 2 BOTTLE in 1 BOX (69396-188-02) / .073 L in 1 BOTTLEMarketed from Apr 30, 2026 |
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)
- Pain Relief Gel-Roll On
- Generic name (nonproprietary)
- lidocaine
- Active ingredients
- Lidocaine hydrochloride — 40 g/L
- Dosage form
- Gel
- Route
- Topical
- Labeler
- Trifecta Pharmaceuticals USANDC labeler code 69396
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 017
- Marketing start
- Listing expires
- Other FDA classes
- Amides (Chemical structure)Local Anesthesia (Physiologic effect)
- Identifiers
- Product ID 69396-188_51cb4dd4-428b-662a-e063-6294a90ac4dfSPL ID 51cb4dd4-428b-662a-e063-6294a90ac4dfSPL set ID 51cb6797-55ec-7a7a-e063-6294a90a90eeRxCUI 1010077UNII V13007Z41AUPC 0850058161402, 0850058161556
- 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
N469396018801followed by a unit qualifier and the quantityPackage 69396-0188-01. 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 and use Temporarily relieves minor pain.
Excerpt only. Read the full label for complete information.
About NDC 69396-188
- What is NDC 69396-188?
- 69396-188 is the product NDC for Pain Relief Gel-Roll On (lidocaine), Lidocaine hydrochloride 40 g/L gel, listed with the FDA by Trifecta Pharmaceuticals USA. It has 2 package NDCs, shown above in 10- and 11-digit form.
- What drug is associated with this NDC?
- Pain Relief Gel-Roll On (Lidocaine).
- What is the active ingredient?
- Lidocaine hydrochloride.
- Who is the labeler?
- Trifecta Pharmaceuticals USA, 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 Pain Relief Gel-Roll On?
- 6 other product NDCs are listed under this name. See all Pain Relief Gel-Roll On NDCs.
- Is there a related HCPCS / J-code?
- Not in Med-Code's curated HCPCS directory. See Billing references above.
Related NDCs: other Pain Relief Gel-Roll On products
Other finished products listed under the same name: strengths, forms and labelers.
| Product | Strength | Form · route | Labeler | Product NDC | Package NDCs (11-digit) |
|---|---|---|---|---|---|
| PAIN RELIEF Gel-Roll Onlidocaine hydrochloride | Lidocaine hydrochloride 39.2 mg/mL | GelTopical | Shanghai Chuangshi Medical Technology (Group) Co., Ltd. | 73557-363 | 73557-0363-73 |
| Pain Relief Gel Roll Onmenthol | Menthol 40 g/L | GelTopical | Trifecta Pharmaceuticals USA | 69396-184 | 69396-0184-0169396-0184-03 |
| Pain Relief Gel-Roll Onmenthol | Lidocaine 40 g/L; Menthol 10 g/L | GelTopical | Trifecta Pharmaceuticals USA | 69396-185 | 69396-0185-0169396-0185-03 |
| Pain Relief Gel-Roll Onlidocaine and menthol | Lidocaine .04 g/mL; Menthol .01 g/mL | GelTopical | Bullet point LLC | 84008-002 | 84008-0002-02 |
| PAIN RELIEF Gel-Roll Onmenthol | Menthol .04 g/mL | GelTopical | Shanghai Chuangshi Medical Technology (Group) Co., Ltd. | 73557-333 | 73557-0333-25 |
| PAIN RELIEF Gel-Roll Onlidocaine and menthol | Lidocaine .04 g/mL; Menthol .01 g/mL | GelTopical | Shanghai Chuangshi Medical Technology (Group) Co., Ltd. | 73557-373 | 73557-0373-25 |
Other NDCs under M 017
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 |
|---|---|---|---|---|
| Stopain Extra Strength Continuousmenthol | Menthol 80 mg/mL | SprayTopical | Troy Manufacturing, Inc. | 63936-4850 |
| Fast Freeze Pain Relievingmenthol, unspecified form | Menthol, Unspecified form 33 mg/mL | GelTopical | NATURAL ESSENTIALS, INC. | 66902-116 |
| Walgreens Pain Reliefbenzocaine | Benzocaine 200 mg/g | GelOral | Walgreens Company | 0363-5061 |
| Blt 2lidocaine hcl | Lidocaine hydrochloride 4 g/100g | OintmentTopical | CENTURA PHARMACEUTICALS INC | 70372-728 |
| Lidocaine 4% Patchlidocaine 4% | Lidocaine 40 mg/g | PatchTopical | V2 Pharma, LLC | 72835-400 |
| Just Cbd Roll-On Coolingmenthol | Menthol 4 g/100mL | GelTopical | Just Brands LLC | 73647-400 |
| Magsoothium Body Cooling Formulamenthol | Menthol 5 g/100mL | CreamTopical | Ubu/Elements, Inc. | 83262-002 |
| Rapid Reliefpain relief patch camphor 110mg menthol 33mg capsicum extract 22mg | Levomenthol .3 g/100g + 2 more ingredients | PatchTopical | RAPID AID VIET NAM COMPANY LIMITED | 83569-015 |
| Terramed Just Think Comfort Hydrocortisone 1% Creamhydrocortisone | Hydrocortisone 10 mg/g | CreamTopical | Rida LLC | 83004-051 |
| Tktalker Numbingnumbing | Lidocaine 4 g/100g | CreamTopical | Shenzhen Shandian Jingling Technology Co., Ltd. | 83804-113 |
| Herb Street Backache and Sore Muscle Reliefmenthol | Menthol .1 g/g | StickTopical | Balassa Laboratories Inc. | 10107-432 |
| CBD Pain Relief Creamtrolamine salicylate | Trolamine salicylate 100 mg/g | CreamTopical | Allure Labs | 62742-4198 |
| 3X Medicated Toothache and Gum Gelbenzocaine | Benzocaine 20 g/100g + 2 more ingredients | GelOral | Rite Aid | 11822-0613 |
| Hush Anestheticlidocaine | Lidocaine 40 mg/g | GelTopical | HUSH Anesthetic | 49947-002 |
| Jointivatrolamine salicylate 10% | Trolamine salicylate 10 g/100g | CreamTopical | Rising Pharma Holdings, Inc. | 57237-355 |
| Stopain Clinicalmenthol, unspecified form | Menthol, Unspecified form 100 mg/g | GelTopical | Troy Manufacturing, Inc. | 63936-0975 |
| Coralite Lidocaine 4% Flexible Pain Relief Patch 1ctlidocaine pain patch | Lidocaine 40 mg/g | PatchTopical | United Exchange Corp | 65923-579 |
| Desert Harvest RELEVEUMlidocaine | Lidocaine 40 mg/mL | CreamTopical | Desert Harvest Inc. | 69145-201 |
| A Health Itch Relief Gelitch relief gel | Diphenhydramine hydrochloride 2 mg/100mL | GelTopical | Bionpharma, Inc. | 69452-496 |
| Hempvana Maximum Strength Pain Relief Cream 10% Trolamine Salicylatetrolamine salicylate | Trolamine salicylate 10 g/100g | CreamTopical | TELEBRANDS CORP | 73287-032 |
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