Walgreens Pain Relief With Lidocaine Spray
NDC Package 0363-1026-03

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings
Table of Contents
    1. Package Information
    2. Frequently Asked Questions

Package Information

Walgreens Pain Relief With Lidocaine (lidocaine, phenylephrine hcl) sprays is helps relieve the local itching and discomfort associated with anorectal disorders or inflammation. This formulation utilizes a spray delivery system. Marketed by Walgreens Co, this product is identified by NDC 0363-1026 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
0363-1026-03
Package Description
107.7 g in 1 CAN
Product Code
0363-1026
11-Digit Billing Format
00363102603
RxNorm Crosswalk
  • RxCUI: 2590656 - lidocaine 5 % / phenylephrine hydrochloride 0.25 % Rectal Spray
  • RxCUI: 2590656 - lidocaine 50 MG/ML / phenylephrine hydrochloride 2.5 MG/ML Rectal Spray

Clinical Specifications

Proprietary Name
Walgreens Pain Relief With Lidocaine
Non-Proprietary Name
Lidocaine, Phenylephrine Hcl
Substance Name
Lidocaine; Phenylephrine Hydrochloride
Dosage Form
Spray - A liquid minutely divided as by a jet of air or steam.
Administration Route
Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Helps relieve the local itching and discomfort associated with anorectal disorders or inflammation.

Regulatory & Marketing

Labeler Name
Walgreens Co
Product Type
Human Otc Drug
FDA Application #
M015
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-24-2026
Listing Expiration
12-31-2027
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage

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 full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 0363-1026-03 identifies a specific commercial package of 107.7 g in 1 can of Walgreens Pain Relief With Lidocaine, a human over the counter drug labeled by Walgreens Co. This spray is formulated for topical use and contains lidocaine; phenylephrine hydrochloride as the active substance.

Is this product currently listed with the FDA?

Yes, this product is active and verified within the NDC Directory. It was introduced to the market by Walgreens Co on March 24, 2026. The current certification is valid through December 31, 2027.

How is this Walgreens Co product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363102603. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (4-4-2)
0363-1026-03
11-Digit CMS (5-4-2)
00363-1026-03

Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.