NDC codes

FDA NDC Directory
Product NDC (as listed)71858-0305Labeler and product segments. Claims need a package NDC.
Product NDC at billing width71858-0305Add 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
71858-0305-2718580305021 POUCH in 1 CARTON (71858-0305-2) / 2 SYSTEM in 1 POUCH (71858-0305-1)Marketed from Sep 1, 2020 · Sample package
71858-0305-5718580305053 POUCH in 1 CARTON (71858-0305-5) / 5 SYSTEM in 1 POUCH (71858-0305-4)Marketed from Sep 1, 2020

How the 11-digit form is made: The package segment has 1 digit, so one leading zero is added to it (5-4-1 → 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)
Licart
Generic name (nonproprietary)
diclofenac epolamine
Active ingredients
Diclofenac epolamine — .013 g/1
Dosage form
System
Route
Topical
Labeler
IBSA Pharma Inc.NDC labeler code 71858
Product type
Prescription drug
Marketing category
NDA — New Drug ApplicationApplication NDA 206976
Marketing start
Listing expires
Other FDA classes
Non-Steroidal (Chemical structure)Cyclooxygenase Inhibitors (Mechanism)Decreased Prostaglandin Production (Physiologic effect)
Identifiers
Product ID 71858-0305_4e7d176c-1593-6214-e063-6394a90a4042SPL ID 4e7d176c-1593-6214-e063-6394a90a4042SPL set ID 851c8b39-6056-4bbc-812e-b9b13977c1acRxCUI 2372911, 2385117UNII X5F8EKL9ZG

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

N471858030502 followed by a unit qualifier and the quantity

Package 71858-0305-02. 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 . This label includes a boxed warning.

Indications (excerpt from the label)

LICART is indicated for the topical treatment of acute pain due to minor strains, sprains, and contusions in adults and pediatric patients 6 years of age and older. LICART contains diclofenac epolamine, which is a nonsteroidal anti-inflammatory drug (NSAID), and is indicated for the topical treatment of acute pain due to minor strains, sprains, and contusions in adults and pediatric patients 6 years and older. ( 1 )

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 71858-0305

What is NDC 71858-0305?
71858-0305 is the product NDC for Licart (diclofenac epolamine), Diclofenac epolamine .013 g/1 system, listed with the FDA by IBSA Pharma Inc.. It has 2 package NDCs, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Licart (Diclofenac epolamine).
What is the active ingredient?
Diclofenac epolamine.
Who is the labeler?
IBSA Pharma Inc., NDC labeler code 71858. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Licart?
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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