Over-the-counter drug · OTC MONOGRAPH DRUG
Non-proprietary name (headache patch) NDC 87915-789
Menthol, Unspecified form 5 g/100g · Patch · Cutaneous · Nanjing 3H Medical Products Co.,Ltd.
NDC codes
FDA NDC Directory| Package NDC | 11-digit (billing) | Package | Copy |
|---|---|---|---|
| 87915-789-01 | 87915078901 | 2 POUCH in 1 BOX (87915-789-01) / 12 PATCH in 1 POUCH / .028 g in 1 PATCHMarketed from Mar 25, 2026 |
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)
- Non-proprietary name
- Generic name (nonproprietary)
- headache patch
- Active ingredients
- Menthol, Unspecified form — 5 g/100g
- Dosage form
- Patch
- Route
- Cutaneous
- Product type
- Over-the-counter drug
- Marketing category
- OTC monograph drugApplication M 017
- Marketing start
- Listing expires
- Identifiers
- Product ID 87915-789_586d73f1-0b0c-f596-e063-6394a90a4d57SPL ID 586d73f1-0b0c-f596-e063-6394a90a4d57SPL set ID 586d73f1-0b0b-f596-e063-6394a90a4d57RxCUI 420222UNII L7T10EIP3AUPC 0628308110995
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
N487915078901followed by a unit qualifier and the quantityPackage 87915-0789-01. 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)
• adults and children 12 years of age and older: Remove backing paper, apply to clean dry skin (temples or tension points), wear up to 8 hours, and discard after use. • apply to affected area not more than 3 to 4 times daily
Excerpt only. Read the full label for complete information.
Other NDCs under M 017
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 |
|---|---|---|---|---|
| ZENSEZONE Arthmed Temporary Pain Relief Creamcapsaicin, menthol, methyl salicylate | Capsaicin .25 mg/mL + 2 more ingredients | CreamTopical | ZENSEZONE LLC | 82319-240 |
| Quality Choice Lidocaine Pain Relief Patchlidocaine | Lidocaine 4 g/100g | PatchTopical | Quality Choice (CHAIN DRUG MARKETING ASSOCIATION) | 83324-257 |
| Opravamethyl salicylate, menthol, capsaicin | Methyl salicylate 10 g/100mL + 2 more ingredients | CreamTopical | Biological M.D. Solutions LLC | 83538-102 |
| LidoGuardlidocaine hcl | Lidocaine hydrochloride 4 g/100g | CreamTopical | ViolaCare, Inc. | 85231-200 |
| Kalaya Extra Strength Pain Relief Gel with Arnicamethyl salicylate, menthol, camphor | Methyl salicylate 11 g/100g + 2 more ingredients | GelTopical | Avaria Health & Beauty Corp | 43493-0012 |
| POINT RELIEF COLD SPOT Pain Relievingmenthol | Menthol 120 mg/mL | GelTopical | FABRICATION ENTERPRISES | 51452-450 |
| NeuroMed 7 Topical Pain Relieflidocaine hydrochloride | Lidocaine hydrochloride 4 g/100g | CreamTopical | Sambria Pharmaceuticals, LLC | 54723-175 |
| Solstice Pain Relievingcamphor, menthol, methyl salicylate | Camphor (Synthetic) 3.1 g/100g + 2 more ingredients | PatchTopical | MADISON ONE ACME INC | 55614-210 |
| Peviderm Pramoxine Hydrocholride 1%pramoxine hydrochloride | Pramoxine hydrochloride 1 mg/mL | LotionTopical | Stratus Pharmaceuticals Inc | 58980-913 |
| Stopain Clinicalmenthol | Menthol 100 mg/g | GelTopical | Troy Manufacturing, Inc. | 63936-9751 |
| Alocane Maxlidocaine hydrochloride and benzalkonium chloride | Lidocaine hydrochloride 4 g/100mL; Benzalkonium chloride .13 g/100mL | GelTopical | Quest Products LLC | 68229-406 |
| Lidocare 034% lidocaine | Lidocaine 4 g/1 | PatchTopical | Kingsway Pharmaceuticals dba NFI, LLC | 69993-400 |
| TheraCare Roll-on Lidocaine Pain Relief Liquid - Lavenderlidocaine hci | Lidocaine 4 g/mL | LiquidTopical | Veridian Healthcare | 71101-088 |
| Re-Lieved Lidocaine Patchlidocaine patch 4% | Lidocaine 18 mg/116cm2 | PatchTopical | Transfer Technology | 71662-000 |
| Nuvalu Ice Therapy Menthol Pain Relievingmenthol | Menthol 3 g/100g | GelTopical | JC SALES | 72520-207 |
| SANA SANA Menthol External Analgesicmenthol | Menthol 150 mg/g | GelTopical | Alquimia Najulam S de RL de CV | 72367-000 |
| Rugby Menthol Hot Cold Patchmenthol | Menthol, Unspecified form 5 g/100g | PatchTopical | RUGBY LABORATORIES | 0536-1332 |
| Careland Lidocaine Plus Menthol Pain Relieving Gel Patcheslidocaine, menthol | Lidocaine 40 mg/g; Menthol 10 mg/g | PatchTopical | Planet (Anhui) Pharmaceutical Co., Ltd. | 75568-051 |
| Lidocaine HCl | Lidocaine hydrochloride anhydrous 5 mg/g | GelTopical | Topco Associates LLC | 76162-034 |
| Itch Relief Gel | Diphenhydramine hydrochloride 2 mg/100mL | GelTopical | Pharma Nobis, LLC | 82645-901 |
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