Lidocaine Patch
NDC Package 69159-003-01

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 EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Lidocaine Patch is adults and children over 12 years:clean 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 to completely apply patch to affected area use 1 patch for up to 12 hours children 12 years or younger: ask a doctor Adults and children over 12 years:clean 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 to completely apply patch to affected area use 1 patch for up to 12 hours children 12 years or younger: ask a doctor. Marketed by Foshan Aqua Gel Biotech Co., Ltd.,, this product is identified by NDC 69159-003 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
69159-003-01
Package Description
300 PATCH in 1 CASE / 1 PATCH in 1 PATCH
Product Code
69159-003
11-Digit Billing Format
69159000301
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lidocaine Patch
Dosage Form
-
Usage Information
Adults and children over 12 years:clean 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 to completely apply patch to affected area use 1 patch for up to 12 hours children 12 years or younger: ask a doctor Adults and children over 12 years:clean 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 to completely apply patch to affected area use 1 patch for up to 12 hours children 12 years or younger: ask a doctor

Regulatory & Marketing

Labeler Name
Foshan Aqua Gel Biotech Co., Ltd.,
FDA Application #
part348
Marketing Category
OTC MONOGRAPH NOT FINAL - A product marketed pursuant to an Over-the-Counter (OTC) Drug Monograph that is not final.
Start Marketing Date
09-11-2017
Listing Expiration
12-31-2023
Exclude Flag
I
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 69159-003-01 identifies a specific commercial package of 300 patch in 1 case / 1 patch in 1 patch of Lidocaine Patch, labeled by Foshan Aqua Gel Biotech Co., Ltd.,. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Foshan Aqua Gel Biotech Co., Ltd., on September 11, 2017. The current certification is valid through December 31, 2023.

How is this Foshan Aqua Gel Biotech Co., Ltd., product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69159000301. 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)
69159-003-01
11-Digit CMS (5-4-2)
69159-0003-01

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