NDC codes

FDA NDC Directory
Product NDC (as listed)81777-105Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81777-0105Add 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
81777-105-018177701050181777010501245 mL in 1 BOTTLE, PLASTIC (81777-105-01)Marketed from Dec 13, 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

Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine hydrochloride — 4.625 g/100mL
Dosage form
Gel
Route
Rectal
Labeler
Premium Natural Cosmetics IncNDC labeler code 81777
Product type
Over-the-counter drug
Marketing category
OTC monograph drugApplication M 015
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 81777-105_4162e5d1-8387-b313-e063-6294a90afc0dSPL ID 4162e5d1-8387-b313-e063-6294a90afc0dSPL set ID efba09fc-6dd7-0f73-e053-2995a90a628aUNII V13007Z41A
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 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

N481777010501 followed by a unit qualifier and the quantity

Package 81777-0105-01. 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)

Use For temporary relief of pain, soreness, or burning in the perianal area.

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

About NDC 81777-105

What is NDC 81777-105?
81777-105 is the product NDC for Xesso Strawberry Rear Comfort Glide 4% Lidocaine, Lidocaine hydrochloride 4.625 g/100mL gel, listed with the FDA by Premium Natural Cosmetics Inc. It has 1 package NDC, shown above in 10- and 11-digit form.
What drug is associated with this NDC?
Xesso Strawberry Rear Comfort Glide 4% Lidocaine (Lidocaine).
What is the active ingredient?
Lidocaine hydrochloride.
Who is the labeler?
Premium Natural Cosmetics Inc, NDC labeler code 81777. The labeler is the company responsible for the label; it may be the manufacturer, a repackager or a distributor.
What other NDCs exist for Xesso Strawberry Rear Comfort Glide 4% Lidocaine?
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.

Other NDCs under M 015

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

FDA NDC Directory listings under M 015
ProductStrengthForm · routeLabelerProduct NDC
Hempvana Maximum Strength Pain Relief Topical Anesthetic Platinumlidocaine 5%Lidocaine 5 g/100gCreamTopicalTelebrands Corp73287-040
Nupharmisto NumbMD LIDOCAINE cream anorectal (hemorrhoidal)lidocaine cream anorectalLidocaine 4 g/80gCreamTopicalEveryMarket Inc85833-002
Lidonumblidocaine 5%Lidocaine .05 g/gCreamTopicalRising Pharma Holdings, Inc.57237-353
Exchange Select Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalArmy & Air Force Exchange Service55301-279
Preparation H Medicated Wipeswitch hazelWitch hazel 5 g/1ClothTopicalHaleon US Holdings LLC0573-0557
Lidocaine anorectal creamlidocaine 5%Lidocaine 5 g/100gCreamTopicalEveryMarket Inc85833-001
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalKroger Company30142-279
hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalMeijer Distribution Inc41250-279
hemorrhoidal maximum strength pain reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalKroger Company30142-944
Oxifylidocaine 5%Lidocaine 50 mg/gCreamTopicalWeeks & Leo Compnay, INC.11383-331
hemorrhoidalglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalPublix Super Markets Inc56062-944
Black Label B Numblidocaine hydrochlorideLidocaine hydrochloride 5 g/100mLSprayTopicalSCALP TECH INC82617-103
hemorrhoidalmineral oil, petrolatum, phenylephrine hclMineral oil 14 g/100g + 2 more ingredientsOintmentRectalAmazon.com Services LLC72288-767
The Solutionlidocaine hydrochloride, epinephrine hydrochlorideLidocaine hydrochloride 5 g/100mL; Epinephrine hydrochloride .01 g/100mLSprayTopicalSCALP TECH INC82617-101
Good Sense Hemorrhoidal Maximum Strength Pain Reliefglycerin, phenylephrine hcl, pramoxine hcl, white petrolatumGlycerin 14.4 g/100g + 3 more ingredientsCreamTopicalL. Perrigo Company0113-0944
The Solution 2.0lidocaineLidocaine hydrochloride 5 g/100mLSprayTopicalSCALP TECH INC82617-102
Equaline Hemorrhoidalcocoa butter, phenylephrine hclCocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1SuppositoryRectalUnited Natural Foods, Inc. dba UNFI41163-279
Walgreens Moisture Barriermenthol, and zinc oxideMenthol .44 g/100g; Zinc oxide 20.6 g/100gCreamTopicalWalgreen Company0363-3680
The Solu Tionlidocaine hydrochloride and epinephrine hydrochlorideLidocaine hydrochloride 5 g/100mL; Epinephrine hydrochloride .01 g/100mLAerosol, FoamTopicalSCALP TECH INC82617-110
Maximum Strength Hemorrhoidal Cream with Aloeglycerin, phenylephine hci, pramoxine hci, petrolatumWhite petrolatum 15 g/100g + 3 more ingredientsCreamTopicalChain Drug Marketing Association83324-330

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