NDC codes

FDA NDC Directory
Product NDC (as listed)69842-623Labeler and product segments. Claims need a package NDC.
Product NDC at billing width69842-0623Add 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
69842-623-09698420623091 TUBE in 1 BOX (69842-623-09) / 7.1 g in 1 TUBEMarketed from Nov 17, 2023

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)
PM Toothache Relief
Generic name (nonproprietary)
benzocaine
Active ingredients
Benzocaine — 20 g/100gMenthol — .26 g/100gZinc chloride — .15 g/100gBenzalkonium chloride — .13 g/100g
Dosage form
Cream
Route
Dental
Labeler
CVSNDC labeler code 69842
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 017
Marketing start
Listing expires
Other FDA classes
Allergens (Chemical structure)Cell-mediated Immunity (Physiologic effect)Decreased Copper Ion Absorption (Physiologic effect)Increased Histamine Release (Physiologic effect)
Identifiers
Product ID 69842-623_439566da-cc7b-d5bc-e063-6394a90a6b64SPL ID 439566da-cc7b-d5bc-e063-6394a90a6b64SPL set ID 0a5a8cd0-d680-8a0f-e063-6294a90aa65cRxCUI 2370903UNII U3RSY48JW5, L7T10EIP3A, 86Q357L16B, F5UM2KM3W7
Pharmacologic class
Copper Absorption Inhibitor; Standardized Chemical Allergen

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

N469842062309 followed by a unit qualifier and the quantity

Package 69842-0623-09. 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)

Cut open tip of tube on score mark. Adults and children 2 years of age and older: apply to affected area up to 4 times daily or as directed by a dentist or doctor. Children under 12 years of age should be supervised in the use of this product. Children under 2 years of age: do not use.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 69842-623

What is NDC 69842-623?
69842-623 is the product NDC for PM Toothache Relief (benzocaine), Benzocaine 20 g/100g + 3 more ingredients cream, listed with the FDA by CVS. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
PM Toothache Relief (Benzocaine).
What is the active ingredient?
Benzocaine, Menthol, Zinc chloride, Benzalkonium chloride.
Who is the labeler?
CVS, NDC labeler code 69842. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for PM Toothache Relief?
1 other product NDC are listed under this name. See all PM Toothache Relief 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 PM Toothache Relief NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
PM Toothache ReliefbenzocaineBenzocaine 20 g/100g + 3 more ingredientsPasteDentalWalgreens0363-162300363-1623-09

Other NDCs under M 017

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

FDA NDC Directory listings under M 017
ProductStrengthForm · routeLabelerProduct NDC
White Flower Analgesic Balm Floral Scentedcamphor, menthol and methyl salicylateCamphor (Synthetic) 5.4 g/100mL + 2 more ingredientsOilTopicalHOE HIN PAK FAH YEOW MANUFACTORY LTD48256-0011
Hot/Cold Medicated Patchhot cold patchMenthol 285 mg/5700mgPatchTopicalDynarex67777-201
Walgreens Cool N Heat Patch XLmentholMenthol, Unspecified form 50 mg/gPatchTopicalWalgreen Co.0363-6672
Certain Dri Clinical Strength Prescription Protection RollonAluminum chloride 15 g/100mLLiquidTopicalClarion Brands LLC69693-734
Ultra-Strength Pain Relief Analgesiccamphor (synthetic) and menthol, unspecified formCamphor (Synthetic) 110 mg/g; Menthol, Unspecified form 110 mg/gOintmentTopicalTARGET CORPORATION82442-311
24 7 Relief and Recovery Pain Relievingmenthol, unspecified formMenthol, Unspecified form 37 mg/mLCreamTopicalTriplicare Inc87656-964
4% Lidocaine PatchesLidocaine 4 g/1001PatchTopicalShenzhen Chaoxiji Technology Co.,Ltd.87794-007
First Aid Only Hydrocortisone 1% Anti-ItchhydrocortisoneHydrocortisone 10 mg/gCreamTopicalAcme United Corporation0924-5633
equaline anti itch maximum strengthhydrocortisoneHydrocortisone 1 g/100gCreamTopicalUnited Natural Foods, Inc. dba UNFI41163-369
Hemorrhoidal Pain Relief Creamglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 144 mg/g + 3 more ingredientsCreamTopicalWALGREENS0363-9127
BLUESPRING Doctors Pain Formula Pain ReliefmentholMenthol 14 mg/mLCreamTopicalACA MANAGEMENT LLC83591-629
Menthol pain relief patchesmentholCapsaicin .25 g/100g; Menthol 5 g/100gPatchTopicalMenthol pain relief patch84876-005
PT Elite Premium Pain Reliefcapsaicin, mentholCapsaicin .35 mg/mL; Menthol 40 mg/mLCreamTopicalPT ELITE PRODUCTS LLC85808-615
Earths Care Muscle And Joint RubcamphorCamphor (Natural) 3 g/100gOintmentTopicalDLC Laboratories, Inc.24286-1563
Signature Care Aloe Vera Gel with LidocainelidocaineLidocaine hydrochloride 8 mg/gGelTopicalSafeway, Inc.21130-733
Kroger Anti ItchhydrocortisoneHydrocortisone 1 g/100gSprayTopicalThe Kroger Co30142-270
N-Labs ArcticZen Pain Relief Kneecamphor (synthetic), mentholMenthol 60 mg/g; Camphor (Synthetic) 35 mg/gPatchTopicalNutriomo Labs PTE., LTD71856-356
Cold And Hot MedicatedmentholMenthol, Unspecified form .05 g/gPatchTopicalUniversal Distribution Center LLC52000-422
Stud 100 Male Genital DesensitizerlidocaineLidocaine 9.6 mg/100mLSpray, MeteredTopicalPound International Corp57707-050
Walgreens Chest Rubcamphor, eucalyptus oil, mentholCamphor (Synthetic) 48 mg/g + 2 more ingredientsOintmentTopicalWalgreen Company0363-1001

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