Icy Hot Pro Pain Patch
NDC Package 41167-0074-0

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

Package Information

Icy Hot Pro Pain (camphor and menthol) patches is ■ adults and children 12 years of age and older:   ■ remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle   ■ carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area   ■ once exposed portion of patch is positioned, carefully remove remaining backing to completely apply patch to affected area   ■ apply to affected area not more than 3 to 4 times daily    ■ wash hands after applying or removing patch. This formulation utilizes a patch delivery system. Marketed by Chattem, Inc., this product is identified by NDC 41167-0074 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
41167-0074-0
Package Description
5 PATCH in 1 CARTON
Product Code
41167-0074
11-Digit Billing Format
41167007400
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Icy Hot Pro Pain
Non-Proprietary Name
Camphor And Menthol
Substance Name
Camphor (synthetic); Menthol
Dosage Form
Patch - A drug delivery system that often contains an adhesive backing that is usually applied to an external site on the body. Its ingredients either passively diffuse from, or are actively transported from, some portion of the patch. Depending upon the patch, the ingredients are either delivered to the outer surface of the body or into the body. A patch is sometimes synonymous with the terms ‘extended release film’ and ‘system’.
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)
Usage Information
■ adults and children 12 years of age and older:   ■ remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle   ■ carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area   ■ once exposed portion of patch is positioned, carefully remove remaining backing to completely apply patch to affected area   ■ apply to affected area not more than 3 to 4 times daily    ■ wash hands after applying or removing patch. Throw away the patch by folding sticky ends together.■ children under 12 years of age: ask a doctor

Regulatory & Marketing

Labeler Name
Chattem, Inc.
Product Type
Human Otc Drug
FDA Application #
505G(a)(3)
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-15-2023
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 41167-0074-0 identifies a specific commercial package of 5 patch in 1 carton of Icy Hot Pro Pain, a human over the counter drug labeled by Chattem, Inc.. This patch is formulated for topical use and contains camphor (synthetic); 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 Chattem, Inc. on January 15, 2023. The current certification is valid through December 31, 2026.

How is this Chattem, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 41167007400. 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)
41167-0074-0
11-Digit CMS (5-4-2)
41167-0074-00

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