Elite Pain Relief
NDC Package 69418-004-15

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.

Elite Pain Relief is •Clean and dry affected area•Remove mesh from backing and apply to affected area•Use only one mesh at a time, and maximum of 4 mesh/day• Leave mesh on affected area for up to 8 hours•Do not use mesh for longer than 5 consecutive days•Children under 12 should consult physician prior to use. Marketed by Meds Direct Rx, Inc., this product is identified by NDC 69418-004 and is authorized under FDA application part347.

Identification & Billing

NDC Package Code
69418-004-15
Package Description
15 g in 1 PATCH
Product Code
69418-004
11-Digit Billing Format
69418000415
RxNorm Crosswalk
  • RxCUI: 1540663 - allantoin 2 % / lidocaine 4 % / petrolatum 30 % Medicated Patch
  • RxCUI: 1540663 - allantoin 0.02 MG/MG / lidocaine 0.04 MG/MG / petrolatum 0.3 MG/MG Medicated Patch

Clinical Specifications

Proprietary Name
Elite Pain Relief
Dosage Form
-
Usage Information
•Clean and dry affected area•Remove mesh from backing and apply to affected area•Use only one mesh at a time, and maximum of 4 mesh/day• Leave mesh on affected area for up to 8 hours•Do not use mesh for longer than 5 consecutive days•Children under 12 should consult physician prior to use

Regulatory & Marketing

Labeler Name
Meds Direct Rx, Inc.
FDA Application #
part347
Marketing Category
OTC MONOGRAPH FINAL - A product marketed pursuant to a final Over-the-Counter (OTC) Drug Monograph.
Start Marketing Date
05-05-2015
Listing Expiration
12-31-2017
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 69418-004-15 identifies a specific commercial package of 15 g in 1 patch of Elite Pain Relief, labeled by Meds Direct Rx, Inc.. 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 Meds Direct Rx, Inc. on May 05, 2015. The current certification is valid through December 31, 2017.

How is this Meds Direct Rx, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69418000415. 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)
69418-004-15
11-Digit CMS (5-4-2)
69418-0004-15

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