NDC codes

FDA NDC Directory
Product NDC (as listed)69557-111Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69557-0111Add 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
69557-111-0369557011103695570111033 POUCH in 1 CARTON (69557-111-03) / 1 PATCH in 1 POUCHMarketed from Apr 26, 2018 · Sample package
69557-111-30695570111306955701113030 POUCH in 1 CARTON (69557-111-30) / 1 PATCH in 1 POUCH (69557-111-01)Marketed from Apr 26, 2018

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)
Ztlido
Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine — 36 mg/1
Dosage form
Patch
Route
Topical
Labeler
Scilex Pharmaceuticals Inc.NDC labeler code 69557
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 207962
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 69557-111_25e03ec1-e3a9-2483-e063-6394a90ad2d8SPL ID 25e03ec1-e3a9-2483-e063-6394a90ad2d8SPL set ID a1b17507-4560-490d-a388-74e7fd7eaa5eRxCUI 2001434, 2001439UNII 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

N469557011103 followed by a unit qualifier and the quantity

Package 69557-0111-03. 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)

ZTLIDO is indicated for relief of pain associated with post-herpetic neuralgia (PHN) in adults. ZTLIDO contains lidocaine, an amide local anesthetic, and is indicated for relief of pain associated with post-herpetic neuralgia (PHN) in adults ( 1 ).

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69557-111

What is NDC 69557-111?
69557-111 is the product NDC for Ztlido (lidocaine), Lidocaine 36 mg/1 patch, listed with the FDA by Scilex Pharmaceuticals Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Ztlido (Lidocaine).
What is the active ingredient?
Lidocaine.
Who is the labeler?
Scilex Pharmaceuticals Inc., NDC labeler code 69557. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Ztlido?
None: this is the only finished product listed under this name.
Is there a related HCPCS / J-code?
Not in Med-Code's curated HCPCS directory. See Billing references above.

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