Cvs Health Lidocaine Pain Relief Plus Menthol Patch
NDC Package 66902-220-05

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

Cvs Health Lidocaine Pain Relief Plus Menthol (lidocaine, menthol, unspecified form) patches is adults/children 12 years and olderclean and dry affected area remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area once exposed portion of patch is positioned, carefully remove remaining backing completely to apply patch to affected area once applied, press firmly and rub on all sides and center of patch to help adhesive adhere to skin do not remove patch and reapply, this will result in the patch not sticking avoid strenuous exercise while wearing patch, this will result in patch not sticking use 1 patch for up to 12 hours. This formulation utilizes a patch delivery system. Marketed by Natural Essentials, Inc., this product is identified by NDC 66902-220 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
66902-220-05
Package Description
5 PATCH in 1 BOX / 1 PATCH in 1 PATCH
Product Code
11-Digit Billing Format
66902022005
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Cvs Health Lidocaine Pain Relief Plus Menthol
Non-Proprietary Name
Lidocaine, Menthol, Unspecified Form
Substance Name
Lidocaine; Menthol, Unspecified Form
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
Transdermal - Administration through the dermal layer of the skin to the systemic circulation by diffusion.
Usage Information
Adults/children 12 years and olderclean and dry affected area remove backing from patch by firmly grasping both ends and gently pulling until backing separates in middle carefully remove smaller portion of backing from patch and apply exposed portion of patch to affected area once exposed portion of patch is positioned, carefully remove remaining backing completely to apply patch to affected area once applied, press firmly and rub on all sides and center of patch to help adhesive adhere to skin do not remove patch and reapply, this will result in the patch not sticking avoid strenuous exercise while wearing patch, this will result in patch not sticking use 1 patch for up to 12 hours.

Regulatory & Marketing

Labeler Name
Natural Essentials, Inc.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
12-18-2019
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 66902-220-05 identifies a specific commercial package of 5 patch in 1 box / 1 patch in 1 patch of Cvs Health Lidocaine Pain Relief Plus Menthol, a human over the counter drug labeled by Natural Essentials, Inc.. This patch is formulated for transdermal use and contains lidocaine; 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 Natural Essentials, Inc. on December 18, 2019. The current certification is valid through December 31, 2026.

How is this Natural Essentials, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 66902022005. 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)
66902-220-05
11-Digit CMS (5-4-2)
66902-0220-05

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