Over-the-counter drug · OTC MONOGRAPH DRUG
Xesso Strawberry Rear Comfort Glide 4% Lidocaine NDC 81777-105
lidocaine · Lidocaine hydrochloride 4.625 g/100mL · Gel · Rectal · Premium Natural Cosmetics Inc
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 81777-105-01 | 81777010501 | 245 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
- Brand name (proprietary)
- Xesso Strawberry Rear Comfort Glide 4% Lidocaine
- Generic name (nonproprietary)
- lidocaine
- Active ingredients
- Lidocaine hydrochloride — 4.625 g/100mL
- Dosage form
- Gel
- Route
- Rectal
- 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
N481777010501followed by a unit qualifier and the quantityPackage 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.
Other NDCs under M 015
Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.
| Product | Strength | Form · route | Labeler | Product NDC |
|---|---|---|---|---|
| Chamosynbarrier cream | Menthol 1 mg/g; Zinc oxide 200 mg/g | OintmentTopical | Links Medical Products | 51028-002 |
| Hemorrhoid Relief Creamlidocaine 5% anorectal | Lidocaine 50 mg/g | CreamTopical | ALAINA HEALTHCARE PRIVATE LIMITED | 73492-712 |
| Hemorrhoidalcocoa butter, phenylephrine hcl | Cocoa butter 2.39 g/1; Phenylephrine hydrochloride 6.75 mg/1 | SuppositoryRectal | Amerisourcebergen Drug Corporation | 46122-777 |
| Family wellnessmineral oil, petrolatum, phenylephrine hcl | Mineral oil 14 g/100g + 2 more ingredients | OintmentTopical | FRONT PHARMACEUTICAL PLC | 69571-006 |
| Kroger Medicated Wipes Hemorrhoidal Wipe With Witch Hazel And Aloewitch hazel cloth | Witch hazel .5 g/g | SwabTopical | The Kroger Co. | 30142-791 |
| TN Dickinsons Witch Hazel Hemorrhoidal Padswitch hazel | Witch hazel 1.2 g/1 | ClothTopical | Dickinson Brands Inc. | 52651-003 |
| T.N. Dickinsons Witch Hazel Medicated Cooling Pads Hemorrhoidal Reliefwitch hazel | Witch hazel .034 g/1 | ClothTopical | Dickinson Brands Inc. | 52651-010 |
| Norms Hemorrhoidphenylephrine hydrochloride, witch hazel | Witch hazel 50 g/100g; Phenylephrine hydrochloride .25 g/100g | SprayTopical | Totally Normal Company | 85996-135 |
| hemorrhoidalcocoa butter, phenylephrine hcl | Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.5 mg/1 | SuppositoryRectal | H E B | 37808-279 |
| Dermatool Hemorrhoidalglycerin, lidocaine, petrolatum, phenylephrine hcl | Lidocaine 5 g/100g + 3 more ingredients | CreamTopical | Papalo Group LLC | 84728-413 |
| Norms Medicated Wipeswitch hazel | Witch hazel .5 g/g | ClothTopical | Totally Normal Company | 85996-001 |
| Walgreens Hemorrhoidal Pain Reliefglycerin 14.4%, lidocaine 5%, petrolatum 15%, phenylephrine hcl 0.25% | Lidocaine 5 g/100g + 3 more ingredients | CreamTopical | Walgreens | 0363-1217 |
| Norms Hemorrhoid Wipeswitch hazel | Witch hazel .5 g/g | ClothTopical | Totally Normal Company | 85996-002 |
| Norms Hemorrhoidglycerin, lidocaine, petrolatum, phenylephrine hcl | Lidocaine 5 g/100g + 3 more ingredients | CreamTopical | Totally Normal Company | 85996-173 |
| ReVIVOL-XRphenylephrine hydrochloride | Phenylephrine hydrochloride 6.25 mg/1 | SuppositoryRectal | Unipack LLC | 43749-432 |
| Preparation Hcocoa butter, phenylephrine hydrochloride | Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.25 mg/1 | SuppositoryRectal | Haleon US Holdings LLC | 0573-2883 |
| FAMILY Wellness MEDICATED HEMORRHOIDAL WIPESwitch hazel | Witch hazel 50 g/100mL | ClothTopical | Family Dollar Stores, Inc | 55319-774 |
| Walgreens Hemorrhoidalhemorrhoidal rectal suppositories | Cocoa butter 2211 mg/1; Phenylephrine hydrochloride 6.25 mg/1 | SuppositoryRectal | Walgreens | 0363-0476 |
| Recticarelidocaine and glycerin | Lidocaine 50 mg/g; Glycerin 200 mg/g | ClothTopical | Ferndale Laboratories, Inc. | 0496-0980 |
| Kroger Hemorrhoidglycerin, lidocaine, petrolatum, phenylephrine hcl | Lidocaine 5 g/100g + 3 more ingredients | CreamTopical | Kroger Company | 30142-713 |
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