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  5. NDC Package Code: 46122-574-21 Lidocaine Menthol Pain Relief

NDC Package 46122-574-21 Lidocaine Menthol Pain Relief

Lidocaine,Menthol 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:
46122-574-21
Package Description:
5 PATCH in 1 POUCH / 8 g in 1 PATCH
Product Code:
46122-574
Proprietary Name:
Lidocaine Menthol Pain Relief
Non-Proprietary Name:
Lidocaine, Menthol
Substance Name:
Lidocaine; Menthol, Unspecified Form
Usage Information:
Clean and dry affected area. Carefully remove backing from patch starting at a corner. Apply sticky sideof patch to affected area. Use one patch for up to 12 hours. Discard after single use.Children under 12 years of age: consult a physician.
11-Digit NDC Billing Format:
46122057421
Billing Unit:
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
NDC to RxNorm Crosswalk:
1 EA
NDC to RxNorm Crosswalk:
  • RxCUI: 1249758 - lidocaine 4 % / menthol 1 % Medicated Patch
  • RxCUI: 1249758 - lidocaine 0.04 MG/MG / menthol 0.01 MG/MG Medicated Patch
    • Product Type:
    Human Otc Drug
    Labeler Name:
    Amerisource Bergen
    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 4 g/100g
  • MENTHOL, UNSPECIFIED FORM 1 g/100g
    • 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:
    07-01-2018
    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 46122-574-21?

    The NDC Packaged Code 46122-574-21 is assigned to a package of 5 patch in 1 pouch / 8 g in 1 patch of Lidocaine Menthol Pain Relief, a human over the counter drug labeled by Amerisource Bergen. The product's dosage form is patch and is administered via topical form.

    Is NDC 46122-574 included in the NDC Directory?

    Yes, Lidocaine Menthol Pain Relief with product code 46122-574 is active and included in the NDC Directory. The product was first marketed by Amerisource Bergen on July 01, 2018 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 NDC billing unit for package 46122-574-21?

    The contents of this package are billed per "each", products billed on a per each basis are usually products dispensed in discreet units. The calculated billable units for this package is 1.

    What is the 11-digit format for NDC 46122-574-21?

    The 11-digit format is 46122057421. 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
    5-3-246122-574-215-4-246122-0574-21