Absorbine Jr Back Patch
NDC Package 69693-421-01

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

Package Information

Absorbine Jr Back Patch patches is for temporary relief of minor aches and pains of muscles and joints associated with:simple backachearthritissprainsstrainsbruises adults and children 12 years of age and older apply to the affected area no more than 3 to 4 times dailyopen pouch & remove patchpeel off protective film and apply sticky side to affected areachildren under 12 years of age consult a doctor. This formulation utilizes a patch delivery system. Marketed by Clarion Brands Llc., this product is identified by NDC 69693-421 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
69693-421-01
Package Description
1 h in 1 PATCH
Product Code
69693-421
11-Digit Billing Format
69693042101

Clinical Specifications

Proprietary Name
Absorbine Jr Back Patch
Non-Proprietary Name
Absorbine Jr Back Patch
Substance Name
Menthol
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
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)
MENTHOL 7500 mg/h
Usage Information
For temporary relief of minor aches and pains of muscles and joints associated with:simple backachearthritissprainsstrainsbruises adults and children 12 years of age and older apply to the affected area no more than 3 to 4 times dailyopen pouch & remove patchpeel off protective film and apply sticky side to affected areachildren under 12 years of age consult a doctor

Regulatory & Marketing

Labeler Name
Clarion Brands Llc.
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-25-2024
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 69693-421-01 identifies a specific commercial package of 1 h in 1 patch of Absorbine Jr Back Patch, a human over the counter drug labeled by Clarion Brands Llc.. This patch is formulated for topical use and contains 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 Clarion Brands Llc. on September 25, 2024. The current certification is valid through December 31, 2026.

How is this Clarion Brands Llc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69693042101. 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)
69693-421-01
11-Digit CMS (5-4-2)
69693-0421-01

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