Lidopro Patch
NDC Package 55700-721-15

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

Package Information

This product is approaching its end of marketing date. An upcoming end of marketing date means the product has been delisted but will remain in the NDC database until the end of marketing date is reached. In most cases, the FDA advises firms to use the expiration date of the last lot produced as the end marketing date, reflecting the possibility that the product may still be available even after manufacturing has stopped.

Lidopro Patch (lidocaine, menthol, and methyl salicylate) patches is adults 18 years and older:• Apply patch to affected area 1 to 2 times daily or as directed. This formulation utilizes a patch delivery system. Marketed by Quality Care Products, Llc, this product is identified by NDC 55700-721 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
55700-721-15
Package Description
15 POUCH in 1 BOX / 5 PATCH in 1 POUCH / 8500 mg in 1 PATCH
Product Code
55700-721
11-Digit Billing Format
55700072115
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
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

Clinical Specifications

Proprietary Name
Lidopro Patch
Non-Proprietary Name
Lidocaine, Menthol, And Methyl Salicylate
Substance Name
Lidocaine Hydrochloride; Menthol; Methyl Salicylate
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
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
Adults 18 years and older:• Apply patch to affected area 1 to 2 times daily or as directed.

Regulatory & Marketing

Labeler Name
Quality Care Products, Llc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-25-2019
End Marketing Date
08-31-2026
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 55700-721-15 identifies a specific commercial package of 15 pouch in 1 box / 5 patch in 1 pouch / 8500 mg in 1 patch of Lidopro Patch, a human over the counter drug labeled by Quality Care Products, Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This patch is formulated for topical use and contains lidocaine hydrochloride; menthol; methyl salicylate 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 Quality Care Products, Llc on January 25, 2019.

How is this Quality Care Products, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 55700072115. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
55700-721-15
11-Digit CMS (5-4-2)
55700-0721-15

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