NDC codes

FDA NDC Directory
Product NDC (as listed)81877-514Labeler and product segments. Claims need a package NDC.
Product NDC at billing width81877-0514Add 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
81877-514-15818770514153 POUCH in 1 BOX (81877-514-15) / 1 g in 1 POUCHMarketed from Jun 27, 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)
Lidocaine
Generic name (nonproprietary)
lidocaine
Active ingredients
Lidocaine — 40 mg/g
Dosage form
Patch
Route
Topical
Product type
Over-the-counter drug
Marketing category
Unapproved drug (other)
Marketing start
Listing expires
Other FDA classes
Amides (Chemical structure)Local Anesthesia (Physiologic effect)
Identifiers
Product ID 81877-514_31187332-1a05-4f32-9d6d-46c43896f60cSPL ID 31187332-1a05-4f32-9d6d-46c43896f60cSPL set ID 14edf7dc-c5dc-4b74-b583-0f87529f4536RxCUI 1737778UNII 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

N481877051415 followed by a unit qualifier and the quantity

Package 81877-0514-15. 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

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