Pain Relieving Roll-on Lotion
NDC Package 68678-040-90

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

Package Information

Pain Relieving Roll-on (menthol, camphor, capsaicin) lotions is adults and children 2 years and older:Apply a small amount directly on the skin over the affected area without the need to rub, massage or bandage. This formulation utilizes a lotion delivery system. Marketed by Ahc Ventures Corp Dba Cry, this product is identified by NDC 68678-040 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
68678-040-90
Package Description
84 mL in 1 BOTTLE, DISPENSING
Product Code
68678-040
11-Digit Billing Format
68678004090

Clinical Specifications

Proprietary Name
Pain Relieving Roll-on
Non-Proprietary Name
Menthol, Camphor, Capsaicin
Substance Name
Camphor (synthetic); Capsaicin; Menthol
Dosage Form
Lotion - An emulsion, liquid1 dosage form. This dosage form is generally for external application to the skin.2
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)
Usage Information
Adults and children 2 years and older:Apply a small amount directly on the skin over the affected area without the need to rub, massage or bandage. Repeat as necessary but do not apply more than 4 times daily. Children under 2 years of age: Consult a Physician

Regulatory & Marketing

Labeler Name
Ahc Ventures Corp Dba Cry
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
01-01-2016
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 68678-040-90 identifies a specific commercial package of 84 ml in 1 bottle, dispensing of Pain Relieving Roll-on, a human over the counter drug labeled by Ahc Ventures Corp Dba Cry. This lotion is formulated for topical use and contains camphor (synthetic); capsaicin; menthol 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 Ahc Ventures Corp Dba Cry on January 01, 2016. The current certification is valid through December 31, 2026.

How is this Ahc Ventures Corp Dba Cry product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 68678004090. 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)
68678-040-90
11-Digit CMS (5-4-2)
68678-0040-90

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