NDC codes

FDA NDC Directory
Product NDC (as listed)71574-905Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71574-0905Add 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
71574-905-0571574090505715740905055 PATCH in 1 POUCH (71574-905-05) / 1 g in 1 PATCHMarketed from Sep 1, 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)
Lidozen Patch
Generic name (nonproprietary)
lidocaine, menthol
Active ingredients
Lidocaine — 40 mg/gMenthol, Unspecified form — 10 mg/g
Dosage form
Patch
Route
Topical
Labeler
Village Pharma LLCNDC labeler code 71574
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 71574-905_fa3635ec-4a51-4f90-bce0-6c98e7b450f5SPL ID fa3635ec-4a51-4f90-bce0-6c98e7b450f5SPL set ID d0ec7d25-ad58-46f2-b3b3-f13b4648b0b6RxCUI 1249758, 2201504UNII 98PI200987, L7T10EIP3A
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

N471574090505 followed by a unit qualifier and the quantity

Package 71574-0905-05. 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: For temporary relief of pain

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71574-905

What is NDC 71574-905?
71574-905 is the product NDC for Lidozen Patch, Lidocaine 40 mg/g; Menthol, Unspecified form 10 mg/g patch, listed with the FDA by Village Pharma LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidozen Patch (Lidocaine, Menthol).
What is the active ingredient?
Lidocaine, Menthol, Unspecified form.
Who is the labeler?
Village Pharma LLC, NDC labeler code 71574. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lidozen Patch?
1 other product NDC are listed under this name. See all Lidozen Patch 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 Lidozen Patch NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lidozen Patchlidocaine, mentholLidocaine 40 mg/g; Menthol, Unspecified form 10 mg/gPatchTopicalProficient Rx LP71205-74571205-0745-0571205-0745-1571205-0745-30

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
Stopain Extra Strength ContinuousmentholMenthol 80 mg/mLSprayTopicalTroy Manufacturing, Inc.63936-4850
Fast Freeze Pain Relievingmenthol, unspecified formMenthol, Unspecified form 33 mg/mLGelTopicalNATURAL ESSENTIALS, INC.66902-116
Walgreens Pain ReliefbenzocaineBenzocaine 200 mg/gGelOralWalgreens Company0363-5061
Blt 2lidocaine hclLidocaine hydrochloride 4 g/100gOintmentTopicalCENTURA PHARMACEUTICALS INC70372-728
Lidocaine 4% Patchlidocaine 4%Lidocaine 40 mg/gPatchTopicalV2 Pharma, LLC72835-400
Just Cbd Roll-On CoolingmentholMenthol 4 g/100mLGelTopicalJust Brands LLC73647-400
Magsoothium Body Cooling FormulamentholMenthol 5 g/100mLCreamTopicalUbu/Elements, Inc.83262-002
Rapid Reliefpain relief patch camphor 110mg menthol 33mg capsicum extract 22mgLevomenthol .3 g/100g + 2 more ingredientsPatchTopicalRAPID AID VIET NAM COMPANY LIMITED83569-015
Terramed Just Think Comfort Hydrocortisone 1% CreamhydrocortisoneHydrocortisone 10 mg/gCreamTopicalRida LLC83004-051
Tktalker NumbingnumbingLidocaine 4 g/100gCreamTopicalShenzhen Shandian Jingling Technology Co., Ltd.83804-113
Herb Street Backache and Sore Muscle ReliefmentholMenthol .1 g/gStickTopicalBalassa Laboratories Inc.10107-432
CBD Pain Relief Creamtrolamine salicylateTrolamine salicylate 100 mg/gCreamTopicalAllure Labs62742-4198
3X Medicated Toothache and Gum GelbenzocaineBenzocaine 20 g/100g + 2 more ingredientsGelOralRite Aid11822-0613
Hush AnestheticlidocaineLidocaine 40 mg/gGelTopicalHUSH Anesthetic49947-002
Jointivatrolamine salicylate 10%Trolamine salicylate 10 g/100gCreamTopicalRising Pharma Holdings, Inc.57237-355
Stopain Clinicalmenthol, unspecified formMenthol, Unspecified form 100 mg/gGelTopicalTroy Manufacturing, Inc.63936-0975
Coralite Lidocaine 4% Flexible Pain Relief Patch 1ctlidocaine pain patchLidocaine 40 mg/gPatchTopicalUnited Exchange Corp65923-579
Desert Harvest RELEVEUMlidocaineLidocaine 40 mg/mLCreamTopicalDesert Harvest Inc.69145-201
A Health Itch Relief Gelitch relief gelDiphenhydramine hydrochloride 2 mg/100mLGelTopicalBionpharma, Inc.69452-496
Hempvana Maximum Strength Pain Relief Cream 10% Trolamine Salicylatetrolamine salicylateTrolamine salicylate 10 g/100gCreamTopicalTELEBRANDS CORP73287-032

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