Goodsense Hemorrhoidal Pain Relief Cream
NDC Package 50804-317-01

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

Package Information

Goodsense Hemorrhoidal Pain Relief (glycerin, lidocaine, petrolatum, phenylephrine hcl) cream is for the temporary relief of pain, soreness, and burning. This formulation utilizes a cream delivery system. Marketed by Perrigo Direct, Inc, this product is identified by NDC 50804-317 and is authorized under FDA application M015.

Identification & Billing

NDC Package Code
50804-317-01
Package Description
1 TUBE in 1 CARTON / 28 g in 1 TUBE
Product Code
50804-317
11-Digit Billing Format
50804031701
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
28 GM
RxNorm Crosswalk
  • RxCUI: 2642220 - glycerin 14.4 % / lidocaine 5 % / phenylephrine HCl 0.25 % / white petrolatum 15 % Rectal Cream
  • RxCUI: 2642220 - glycerin 144 MG/ML / lidocaine 50 MG/ML / petrolatum 150 MG/ML / phenylephrine hydrochloride 2.5 MG/ML Rectal Cream

Clinical Specifications

Proprietary Name
Goodsense Hemorrhoidal Pain Relief
Non-Proprietary Name
Glycerin, Lidocaine, Petrolatum, Phenylephrine Hcl
Substance Name
Glycerin; Lidocaine; Petrolatum; Phenylephrine Hydrochloride
Dosage Form
Cream - An emulsion, semisolid3 dosage form, usually containing > 20% water and volatiles5 and/or < 50% hydrocarbons, waxes, or polyols as the vehicle. This dosage form is generally for external application to the skin or mucous membranes.
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
For the temporary relief of pain, soreness, and burning. Helps relieve the local itching and discomfort associated with hemorrhoids. Temporarily shrinks hemorrhoidal tissue. Temporarily provides a coating for the relief of anorectal discomforts. Temporarily protects the inflamed, irritated anorectal surface to help make bowel movements less painful.

Regulatory & Marketing

Labeler Name
Perrigo Direct, Inc
Product Type
Human Otc Drug
FDA Application #
M015
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
05-01-2025
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 50804-317-01 identifies a specific commercial package of 1 tube in 1 carton / 28 g in 1 tube of Goodsense Hemorrhoidal Pain Relief, a human over the counter drug labeled by Perrigo Direct, Inc. This product is billed per "GM" gram and contains an estimated amount of 28 billable units per package. This cream is formulated for topical use and contains glycerin; lidocaine; petrolatum; phenylephrine hydrochloride 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 Perrigo Direct, Inc on May 01, 2025. The current certification is valid through December 31, 2026.

How is this Perrigo Direct, Inc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 50804031701. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 28 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 (5-3-2)
50804-317-01
11-Digit CMS (5-4-2)
50804-0317-01

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