Icy Hot With Lidocaine Patch
NDC Package 41167-1720-1

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

Package Information

Icy Hot With Lidocaine (lidocaine and menthol) patches is adults and children over 12 years:■ clean and dry affected area■ 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■ use 1 patch for up to 12 hourschildren 12 years or younger: ask a doctor. This formulation utilizes a patch delivery system. Marketed by Chattem, Inc., this product is identified by NDC 41167-1720 and is authorized under FDA application 505G(a)(3).

Identification & Billing

NDC Package Code
41167-1720-1
Package Description
5 PATCH in 1 CARTON
Product Code
41167-1720
11-Digit Billing Format
41167172001
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
5 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Icy Hot With Lidocaine
Non-Proprietary Name
Lidocaine And Menthol
Substance Name
Lidocaine; 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)
Pharmacologic Class
Usage Information
Adults and children over 12 years:■ clean and dry affected area■ 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■ use 1 patch for up to 12 hourschildren 12 years or younger: 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
02-18-2018
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 41167-1720-1 identifies a specific commercial package of 5 patch in 1 carton of Icy Hot With Lidocaine, a human over the counter drug labeled by Chattem, Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 5 billable units per package. This patch is formulated for topical use and contains lidocaine; 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 February 18, 2018. 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: 41167172001. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 5 total billable units per package. 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)
41167-1720-1
11-Digit CMS (5-4-2)
41167-1720-01

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