NDC codes

FDA NDC Directory
Product NDC (as listed)80425-0385Labeler and product segments. Claims need a package NDC.
Product NDC at billing width80425-0385Add 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
80425-0385-1804250385013 POUCH in 1 BOX (80425-0385-1) / 5 PATCH in 1 POUCH / 8500 mg in 1 PATCHMarketed from May 10, 2024

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)
Lidothol
Generic name (nonproprietary)
lidocaine and menthol
Active ingredients
Menthol — 1 mg/100mgLidocaine — 4 mg/100mg
Dosage form
Patch
Route
Topical
Labeler
Advanced Rx Pharmacy of Tennessee, LLCNDC labeler code 80425
Product type
Prescription drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 80425-0385_181bfe86-bbb3-b279-e063-6294a90a2f00SPL ID 181bfe86-bbb3-b279-e063-6294a90a2f00SPL set ID 181f0806-dab7-410c-e063-6294a90ac09cRxCUI 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

N480425038501 followed by a unit qualifier and the quantity

Package 80425-0385-01. 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)

INDICATIONS AND USAGE: 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 80425-0385

What is NDC 80425-0385?
80425-0385 is the product NDC for Lidothol, Menthol 1 mg/100mg; Lidocaine 4 mg/100mg patch, listed with the FDA by Advanced Rx Pharmacy of Tennessee, LLC. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Lidothol (Lidocaine and menthol).
What is the active ingredient?
Menthol, Lidocaine.
Who is the labeler?
Advanced Rx Pharmacy of Tennessee, LLC, NDC labeler code 80425. 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?
4 other product NDCs are listed under this name. See all Lidothol 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 Lidothol NDCs
ProductStrengthForm · routeLabelerProduct NDCPackage NDCs (11-digit)
Lidothollidocaine hcl, mentholMenthol 5 g/100g; Lidocaine hydrochloride 4.5 g/100gGelCutaneousAdvanced Rx of Tennessee, LLC80425-051680425-0516-01
Lidothollidocaine hcl, mentholMenthol 5 g/100g; Lidocaine hydrochloride 4.5 g/100gGelCutaneousClinic Pharma83881-45583881-0455-35
Lidothollidocaine hcl, mentholMenthol 5 g/100g; Lidocaine hydrochloride 4.5 g/100gGelCutaneousASCLEMED USA INC.87063-21887063-0218-99
Lidothollidocaine hcl, mentholMenthol 5 g/100g; Lidocaine hydrochloride 4.5 g/100gGelTopicalAsclemed USA, Inc.76420-25376420-0253-04

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