NDC codes

FDA NDC Directory
Product NDC (as listed)72189-553Labeler and product segments. Claims need a package NDC.
Product NDC at billing width72189-0553Add 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
72189-553-157218905531515 mg in 1 PATCH (72189-553-15)Marketed from May 28, 2024

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)
Lidothol Patch
Generic name (nonproprietary)
lidothol patch
Active ingredients
Menthol — 1 mg/100mgLidocaine — 4 mg/100mg
Dosage form
Patch
Route
Topical
Labeler
Direct_RxNDC labeler code 72189
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Marketing end
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 72189-553_4d27ed91-6bf5-c483-e063-6294a90a37ffSPL ID 4d27ed91-6bf5-c483-e063-6294a90a37ffSPL set ID 1987e839-6f4e-8671-e063-6394a90abea6RxCUI 1249758UNII L7T10EIP3A, 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

N472189055315 followed by a unit qualifier and the quantity

Package 72189-0553-15. 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)

Lidothol is a formulation used to assist patients in the treatment of mild to moderate acute or chronic aches or pain. Muscle or joint pain can be due to muscle or ligament strains, simple backache, tendonitis, osteoarthritis, rheumatoid arthritis, peripheral neuropathies such as diabetic neuropathy or post herpetic neuralgia, and other complex regional pains. It can also be used to help with certain types of headaches, but use with caution when applying in order to avoid eye contact. Other uses may be considered if deemed clinically relevant.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 72189-553

What is NDC 72189-553?
72189-553 is the product NDC for Lidothol Patch, Menthol 1 mg/100mg; Lidocaine 4 mg/100mg patch, listed with the FDA by Direct_Rx. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidothol Patch.
What is the active ingredient?
Menthol, Lidocaine.
Who is the labeler?
Direct_Rx, NDC labeler code 72189. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Lidothol Patch?
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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