Xyliderm Kit
NDC Package 59088-731-00

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

Package Information

Xyliderm (lidocaine, isopropyl alcohol) kits is lidocan™ is contraindicated in patients with a known history of sensitivity to local anesthetics of the amide type, or to any other component of the product. This formulation utilizes a kit delivery system. Marketed by Puretek Corporation, this product is identified by NDC 59088-731.

Identification & Billing

NDC Package Code
59088-731-00
Package Description
1 KIT in 1 KIT * 30 POUCH in 1 PACKAGE (59088-905-54) / 1 PATCH in 1 POUCH (59088-905-84) * 200 PACKET in 1 BOX (53329-805-60) / 1 APPLICATOR in 1 PACKET / 5 mL in 1 APPLICATOR
Product Code
59088-731
11-Digit Billing Format
59088073100
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Xyliderm
Non-Proprietary Name
Lidocaine, Isopropyl Alcohol
Dosage Form
Kit - A packaged collection of related material.
Usage Information
Lidocan™ is contraindicated in patients with a known history of sensitivity to local anesthetics of the amide type, or to any other component of the product.

Regulatory & Marketing

Labeler Name
Puretek Corporation
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
07-05-2023
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

Code Lineage
  • 59088 - Puretek Corporation
    • 59088-731 - Xyliderm
      • 59088-731-00 - 1 KIT in 1 KIT * 30 POUCH in 1 PACKAGE (59088-905-54) / 1 PATCH in 1 POUCH (59088-905-84) * 200 PACKET in 1 BOX (53329-805-60) / 1 APPLICATOR in 1 PACKET / 5 mL in 1 APPLICATOR

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 59088-731-00 identifies a specific commercial package of 1 kit in 1 kit * 30 pouch in 1 package (59088-905-54) / 1 patch in 1 pouch (59088-905-84) * 200 packet in 1 box (53329-805-60) / 1 applicator in 1 packet / 5 ml in 1 applicator of Xyliderm, a human prescription drug labeled by Puretek Corporation. This kit is formulated for use and contains 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 Puretek Corporation on July 05, 2023. The current certification is valid through December 31, 2026.

How is this Puretek Corporation product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 59088073100. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. 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)
59088-731-00
11-Digit CMS (5-4-2)
59088-0731-00

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