Rite Aid Cooling Pain Relief Spray
NDC Package 11822-0639-3

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

Package Information

Rite Aid Cooling Pain Relief (menthol 10.5%) sprays is for the temporary relief of minor pain associated with arthritis, simple backache, muscle strains, sprains, and bruises. This formulation utilizes a spray delivery system. Marketed by Rite Aid, this product is identified by NDC 11822-0639 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
11822-0639-3
Package Description
85 g in 1 CAN
Product Code
11822-0639
11-Digit Billing Format
11822063903
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Rite Aid Cooling Pain Relief
Non-Proprietary Name
Menthol 10.5%
Substance Name
Menthol
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)
MENTHOL 10.5 g/100g
Usage Information
For the temporary relief of minor pain associated with arthritis, simple backache, muscle strains, sprains, and bruises.

Regulatory & Marketing

Labeler Name
Rite Aid
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
03-31-2021
Listing Expiration
12-31-2026
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 11822-0639-3 identifies a specific commercial package of 85 g in 1 can of Rite Aid Cooling Pain Relief, a human over the counter drug labeled by Rite Aid. This spray is formulated for topical use and contains menthol 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 Rite Aid on March 31, 2021. The current certification is valid through December 31, 2026.

How is this Rite Aid product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 11822063903. 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 (5-4-1)
11822-0639-3
11-Digit CMS (5-4-2)
11822-0639-03

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