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  5. NDC Package Code: 45865-903-01 Lidopro Patch

NDC Package 45865-903-01 Lidopro Patch

Lidocaine,Menthol,And Methyl Salicylate Patch Topical - View Billable Units, 11-Digit Format, RxNorm

Table of Contents

    1. Package Information
    2. Frequently Asked Questions

Package Information

Find all the important details about this NDC Package code, including the 11-Digit NDC Billing number, billing units, wholesale price, RxNorm crosswalk, active ingredients, pharmacologic clasess, etc.

NDC Package Code:
45865-903-01
Package Description:
15 POUCH in 1 CARTON / 5 PATCH in 1 POUCH / 8500 mg in 1 PATCH
Product Code:
45865-903
Proprietary Name:
Lidopro Patch
Non-Proprietary Name:
Lidocaine, Menthol, And Methyl Salicylate
Substance Name:
Lidocaine Hydrochloride; Menthol; Methyl Salicylate
Usage Information:
Adults 18 years and older:• Apply patch to affected area 1 to 2 times daily or as directed.
11-Digit NDC Billing Format:
45865090301
NDC to RxNorm Crosswalk:
  • RxCUI: 1599164 - lidocaine 4 % / menthol 5 % / methyl salicylate 4 % Medicated Patch
  • RxCUI: 1599164 - lidocaine 0.04 MG/MG / menthol 0.05 MG/MG / methyl salicylate 0.04 MG/MG Medicated Patch
  • RxCUI: 1599302 - LidoPro Patch 4 % / 5 % / 4 % Medicated Patch
  • RxCUI: 1599302 - lidocaine 0.04 MG/MG / menthol 0.05 MG/MG / methyl salicylate 0.04 MG/MG Medicated Patch [LidoPro Patch]
  • RxCUI: 1599302 - LidoPro Patch (lidocaine 4 % / menthol 5 % / methyl salicylate 4 % ) Medicated Patch
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Medsource Pharmaceuticals
    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(s):
  • 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):
  • LIDOCAINE HYDROCHLORIDE 4 mg/100mg
  • MENTHOL 5 mg/100mg
  • METHYL SALICYLATE 4 mg/100mg
    • Pharmacologic Class(es):
  • Amide Local Anesthetic - [EPC] (Established Pharmacologic Class)
  • Amides - [CS]
  • Antiarrhythmic - [EPC] (Established Pharmacologic Class)
  • Local Anesthesia - [PE] (Physiologic Effect)
    • Sample Package:
    No
    FDA Application Number:
    part348
    Marketing Category:
    OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
    Start Marketing Date:
    12-02-2014
    Listing Expiration Date:
    12-31-2024
    Exclude Flag:
    N
    Code Structure:

    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 disclaimer below.

    Frequently Asked Questions

    What is NDC 45865-903-01?

    The NDC Packaged Code 45865-903-01 is assigned to a package of 15 pouch in 1 carton / 5 patch in 1 pouch / 8500 mg in 1 patch of Lidopro Patch, a human over the counter drug labeled by Medsource Pharmaceuticals. The product's dosage form is patch and is administered via topical form.

    Is NDC 45865-903 included in the NDC Directory?

    Yes, Lidopro Patch with product code 45865-903 is active and included in the NDC Directory. The product was first marketed by Medsource Pharmaceuticals on December 02, 2014 and its listing in the NDC Directory is set to expire on December 31, 2024 if the product is not updated or renewed by the manufacturer.

    What is the 11-digit format for NDC 45865-903-01?

    The 11-digit format is 45865090301. The 11-digit billing format might be required by the Centers for Medicare & Medicaid Services (CMS) and other payers in billing claim forms.

    This package code is originally configured in a 5-3-2 segment 10-digit format and by adding a zero within the original NDC package code we can obtain the converted 11-digit format in a 5-4-2 segment configuration. The table below shows the 11-digit code conversion:

    10-Digit Format10-Digit Original Code11-Digit Format11-Digit Code
    5-3-245865-903-015-4-245865-0903-01