Salonpas Lidocaine Plus Cream
NDC Package 55328-902-03

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

Package Information

Salonpas Lidocaine Plus (benzyl alcohol, lidocaine hydrochloride) cream is adults and children 12 years of age and over:clean and dry affected areaapply to affected area not more than 3 to 4 times dailyChildren under 12 years of age:consult a doctor. This formulation utilizes a cream delivery system. Marketed by Hisamitsu America, Inc., this product is identified by NDC 55328-902 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
55328-902-03
Package Description
1 TUBE in 1 BOX / 85 g in 1 TUBE
Product Code
55328-902
11-Digit Billing Format
55328090203
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
85 GM
RxNorm Crosswalk
  • RxCUI: 1926513 - benzyl alcohol 10 % / lidocaine HCl 4 % Topical Cream
  • RxCUI: 1926513 - benzyl alcohol 0.1 ML/ML / lidocaine hydrochloride 40 MG/ML Topical Cream

Clinical Specifications

Proprietary Name
Salonpas Lidocaine Plus
Non-Proprietary Name
Benzyl Alcohol, Lidocaine Hydrochloride
Substance Name
Benzyl Alcohol; Lidocaine 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
  • Percutaneous - Administration through the skin.
  • Topical - Administration to a particular spot on the outer surface of the body. The E2B term TRANSMAMMARY is a subset of the term TOPICAL.
  • Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Active Ingredient(s)
Pharmacologic Class
Usage Information
Adults and children 12 years of age and over:clean and dry affected areaapply to affected area not more than 3 to 4 times dailyChildren under 12 years of age:consult a doctor

Regulatory & Marketing

Labeler Name
Hisamitsu America, Inc.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
06-23-2017
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 55328-902-03 identifies a specific commercial package of 1 tube in 1 box / 85 g in 1 tube of Salonpas Lidocaine Plus, a human over the counter drug labeled by Hisamitsu America, Inc.. This product is billed per "GM" gram and contains an estimated amount of 85 billable units per package. This cream is formulated for percutaneous; topical; transdermal use and contains benzyl alcohol; lidocaine 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 Hisamitsu America, Inc. on June 23, 2017. The current certification is valid through December 31, 2026.

How is this Hisamitsu America, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55328090203. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 85 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)
55328-902-03
11-Digit CMS (5-4-2)
55328-0902-03

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