Lipo Flavonoid Ear Pain Relief Drops With 4% Lidocaine Liquid
NDC Package 69693-901-04

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

Package Information

Lipo Flavonoid Ear Pain Relief Drops With 4% Lidocaine liquids is for the temporary relief of pain. This formulation utilizes a liquid delivery system. Marketed by Clarion Brands Llc, this product is identified by NDC 69693-901 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
69693-901-04
Package Description
12.4 mL in 1 BOTTLE, DROPPER
Product Code
11-Digit Billing Format
69693090104
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lipo Flavonoid Ear Pain Relief Drops With 4% Lidocaine
Non-Proprietary Name
Lipo Flavonoid Ear Pain Relief Drops With 4% Lidocaine
Substance Name
Lidocaine Hydrochloride
Dosage Form
Liquid - A dosage form consisting of a pure chemical in its liquid1 state. This dosage form term should not be applied to solutions.
Administration Route
Auricular (otic) - Administration to or by way of the ear.
Active Ingredient(s)
Usage Information
For the temporary relief of pain

Regulatory & Marketing

Labeler Name
Clarion Brands Llc
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
02-17-2025
Listing Expiration
12-31-2026
Exclude Flag
N
Sample Package
No

Hierarchy Structure

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 69693-901-04 identifies a specific commercial package of 12.4 ml in 1 bottle, dropper of Lipo Flavonoid Ear Pain Relief Drops With 4% Lidocaine, a human over the counter drug labeled by Clarion Brands Llc. This liquid is formulated for auricular (otic) use and contains lidocaine hydrochloride 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 February 17, 2025. 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: 69693090104. 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)
69693-901-04
11-Digit CMS (5-4-2)
69693-0901-04

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