Toothache And Gum Relief Cushions Dressing
NDC Package 11822-1616-9

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

Package Information

Toothache And Gum Relief Cushions (benzocaine) dressings is for the temporary relief of pain due to toothaches. This formulation utilizes a dressing delivery system. Marketed by Rite Aid, this product is identified by NDC 11822-1616 and is authorized under FDA application M022.

Identification & Billing

NDC Package Code
11822-1616-9
Package Description
8 BLISTER PACK in 1 CARTON / .5 g in 1 BLISTER PACK
Product Code
11822-1616
11-Digit Billing Format
11822161609

Clinical Specifications

Proprietary Name
Toothache And Gum Relief Cushions
Non-Proprietary Name
Benzocaine
Substance Name
Benzocaine; Menthol
Dosage Form
Dressing - The application of various materials for protecting a wound.
Administration Route
Oral - Administration to or by way of the mouth.
Active Ingredient(s)
Pharmacologic Class
Usage Information
For the temporary relief of pain due to toothaches

Regulatory & Marketing

Labeler Name
Rite Aid
Product Type
Human Otc Drug
FDA Application #
M022
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-26-2020
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 11822-1616-9 identifies a specific commercial package of 8 blister pack in 1 carton / .5 g in 1 blister pack of Toothache And Gum Relief Cushions, a human over the counter drug labeled by Rite Aid. This dressing is formulated for oral use and contains benzocaine; 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 June 26, 2020. 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: 11822161609. 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)
11822-1616-9
11-Digit CMS (5-4-2)
11822-1616-09

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