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  5. NDC Package Code: 0121-0903-40 Lidocaine Viscous

NDC Package 0121-0903-40 Lidocaine Viscous

Lidocaine Hydrochloride Solution Oral - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
0121-0903-40
Package Description:
4 TRAY in 1 CASE / 10 CUP, UNIT-DOSE in 1 TRAY / 15 mL in 1 CUP, UNIT-DOSE (0121-0903-15)
Product Code:
0121-0903
Proprietary Name:
Lidocaine Viscous
Non-Proprietary Name:
Lidocaine Hydrochloride
Substance Name:
Lidocaine Hydrochloride
Usage Information:
Lidocaine is indicated for the production of topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx. It is also useful for reducing gagging during the taking of X-ray pictures and dental impressions.
11-Digit NDC Billing Format:
00121090340
Billing Unit:
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
NDC to RxNorm Crosswalk:
  • RxCUI: 1010739 - lidocaine HCl 2 % Mucous Membrane Topical Solution
  • RxCUI: 1010739 - lidocaine hydrochloride 20 MG/ML Mucous Membrane Topical Solution
  • RxCUI: 1010739 - lidocaine HCl 2 % Oral Topical Solution
  • RxCUI: 1010739 - lidocaine HCl 2 % Oromucosal Solution
    • Product Type:
    Human Prescription Drug
    Labeler Name:
    Pharmaceutical Associates, Inc.
    Dosage Form:
    Solution - A clear, homogeneous liquid1 dosage form that contains one or more chemical substances dissolved in a solvent or mixture of mutually miscible solvents.
    Administration Route(s):
  • Oral - Administration to or by way of the mouth.
    • Active Ingredient(s):
  • LIDOCAINE HYDROCHLORIDE 20 mg/mL
    • Pharmacologic Class(es):
  • Amide Local Anesthetic - [EPC] (Established Pharmacologic Class)
  • Amides - [CS]
  • Antiarrhythmic - [EPC] (Established Pharmacologic Class)
  • Local Anesthesia - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    ANDA088802
    Marketing Category:
    ANDA - A product marketed under an approved Abbreviated New Drug Application.
    Start Marketing Date:
    04-26-1985
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

    * Please review the disclaimer below.

    Frequently Asked Questions

    What is NDC 0121-0903-40?

    The NDC Packaged Code 0121-0903-40 is assigned to a package of 4 tray in 1 case / 10 cup, unit-dose in 1 tray / 15 ml in 1 cup, unit-dose (0121-0903-15) of Lidocaine Viscous, a human prescription drug labeled by Pharmaceutical Associates, Inc.. The product's dosage form is solution and is administered via oral form.

    Is NDC 0121-0903 included in the NDC Directory?

    Yes, Lidocaine Viscous with product code 0121-0903 is active and included in the NDC Directory. The product was first marketed by Pharmaceutical Associates, Inc. on April 26, 1985 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the NDC billing unit for package 0121-0903-40?

    The contents of this package are billed per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.

    What is the 11-digit format for NDC 0121-0903-40?

    The 11-digit format is 00121090340. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 4-4-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    4-4-20121-0903-405-4-200121-0903-40