Walgreens Lidocaine Pain Relieving Patch Assorted Kit
NDC Package 0363-6726-06
Package Information
Walgreens Lidocaine Pain Relieving Patch Assorted (lidocaine) kits is adults and children 12 years and older: clean and dry affected area remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middlecarefully remove smaller portion of backing from patch and apply exposed portion of patch to affected areaonce exposed portion of patch is positioned, carefully remove remaining backing completely to apply patch to affected areaonce applied, press firmly and rub on all sides and center of patch to help adhesive adhere to skindo not remove patch and reapply, this will result in the patch not stickingavoid strenuous exercise while wearing patch, this will result in patch not stickingdo not use more than one patch in an 8 hour periodmaximum 3 patches per day.Children under 12 years of age: ask a doctor. This formulation utilizes a kit delivery system. Marketed by Walgreen Co., this product is identified by NDC 0363-6726 and is authorized under FDA application M017.
Identification & Billing
- RxCUI: 1737778 - lidocaine 4 % Medicated Patch
- RxCUI: 1737778 - lidocaine 0.04 MG/MG Medicated Patch
Clinical Specifications
Regulatory & Marketing
Hierarchy Structure
- 0363 - Walgreen Co.
- 0363-6726 - Walgreens Lidocaine Pain Relieving Patch Assorted
- 0363-6726-06 - 1 KIT in 1 CARTON * 1 PATCH in 1 POUCH (0363-6725-02) / 14 g in 1 PATCH * 1 PATCH in 1 POUCH (0363-6725-03) / 22 g in 1 PATCH * 1 PATCH in 1 POUCH (0363-6725-01) / 7 g in 1 PATCH
- 0363-6726 - Walgreens Lidocaine Pain Relieving Patch Assorted
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.
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Frequently Asked Questions
What is the distribution configuration for this product package?
The code 0363-6726-06 identifies a specific commercial package of 1 kit in 1 carton * 1 patch in 1 pouch (0363-6725-02) / 14 g in 1 patch * 1 patch in 1 pouch (0363-6725-03) / 22 g in 1 patch * 1 patch in 1 pouch (0363-6725-01) / 7 g in 1 patch of Walgreens Lidocaine Pain Relieving Patch Assorted, a human over the counter drug labeled by Walgreen Co.. This kit is formulated for topical use and contains 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 Walgreen Co. on March 27, 2026. The current certification is valid through December 31, 2027.
How is this Walgreen Co. product billed for insurance claims?
For medical billing and reimbursement, this package follows the 11-digit CMS format: 00363672606. 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:
Note: The zero is added to the Labeler segment to maintain the 5-4-2 structure.