Lidozen Gel
NDC Package 63187-892-72

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

Lidozen (lidocaine hydrochloride, menthol) gel is apply directly to affected area. This formulation utilizes a gel delivery system. Marketed by Proficient Rx Lp, this product is identified by NDC 63187-892 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
63187-892-72
Package Description
1 BOTTLE in 1 BOX / 120 mL in 1 BOTTLE
Product Code
63187-892
11-Digit Billing Format
63187089272
Billing Unit
ML - Billing unit of "milliliter" is used when a product is measured by its liquid volume.
RxNorm Crosswalk
  • RxCUI: 1373137 - lidocaine HCl 4 % / menthol 1 % Topical Gel
  • RxCUI: 1373137 - lidocaine hydrochloride 0.04 MG/MG / menthol 0.01 MG/MG Topical Gel
  • RxCUI: 1373137 - lidocaine hydrochloride 4 % / menthol 1 % Topical Gel
  • RxCUI: 1939340 - LidozenGel 4 % / 1 % Topical Gel
  • RxCUI: 1939340 - lidocaine hydrochloride 0.04 MG/MG / menthol 0.01 MG/MG Topical Gel [Lidozen]

Clinical Specifications

Proprietary Name
Lidozen
Non-Proprietary Name
Lidocaine Hydrochloride, Menthol
Substance Name
Lidocaine Hydrochloride; Menthol, Unspecified Form
Dosage Form
Gel - A semisolid3 dosage form that contains a gelling agent to provide stiffness to a solution or a colloidal dispersion.4 A gel may contain suspended particles.
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
Apply directly to affected area. Do not use more than four times per day.

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
07-22-2017
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (63187-892). Click a package code to view its specific billing and regulatory data.

63187-892-64
2 BOTTLE in 1 BOX / 120 mL in 1 BOTTLE

* 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 63187-892-72 identifies a specific commercial package of 1 bottle in 1 box / 120 ml in 1 bottle of Lidozen, a human over the counter drug labeled by Proficient Rx Lp. This gel is formulated for topical use and contains lidocaine hydrochloride; menthol, unspecified form 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 Proficient Rx Lp on July 22, 2017. The current certification is valid through December 31, 2026.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 63187089272. Quantities are measured in per "ml or milliliter", products billed per milliliter are usually products measured by liquid volume.. 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)
63187-892-72
11-Digit CMS (5-4-2)
63187-0892-72

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