Mini Pain Relief
NDC Package 53043-003-01

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

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Mini Pain Relief is do not useother than as directed on wounds, damaged or irritated skin in combination with otherexternal analgesic products, ointments, creams or with a heating pad. Marketed by Shanghai Aquagel Bio-plymer Co., Ltd, this product is identified by NDC 53043-003 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
53043-003-01
Package Description
20 PATCH in 1 CARTON
Product Code
53043-003
11-Digit Billing Format
53043000301
RxNorm Crosswalk
  • RxCUI: 1364097 - camphor 1.2 % / menthol 2.7 % / methyl salicylate 2.5 % Medicated Patch
  • RxCUI: 1364097 - camphor 0.012 MG/MG / menthol 0.027 MG/MG / methyl salicylate 0.025 MG/MG Medicated Patch

Clinical Specifications

Proprietary Name
Mini Pain Relief
Dosage Form
-
Usage Information
Do not useother than as directed on wounds, damaged or irritated skin in combination with otherexternal analgesic products, ointments, creams or with a heating pad. in contact with eyes or mucousmembranes. if you are allergic to any ingredient in this product or if you have a history of allergic reactions to thisor similar products

Regulatory & Marketing

Labeler Name
Shanghai Aquagel Bio-plymer Co., Ltd
FDA Application #
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
12-01-2012
Listing Expiration
12-31-2017
Exclude Flag
I
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (53043-003). Click a package code to view its specific billing and regulatory data.

53043-003-02
20 PATCH in 1 CARTON

* 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 53043-003-01 identifies a specific commercial package of 20 patch in 1 carton of Mini Pain Relief, labeled by Shanghai Aquagel Bio-plymer Co., Ltd. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Shanghai Aquagel Bio-plymer Co., Ltd on December 01, 2012. The current certification is valid through December 31, 2017.

How is this Shanghai Aquagel Bio-plymer Co., Ltd product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 53043000301. 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)
53043-003-01
11-Digit CMS (5-4-2)
53043-0003-01

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