Lidocaine Hydrochloride
NDC Package 69938-101-11

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

Package Information

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

Lidocaine Hydrochloride is a . Marketed by True Fit Rx Llc, this product is identified by NDC 69938-101.

Identification & Billing

NDC Package Code
69938-101-11
Package Description
20 mL in 1 CUP
Product Code
11-Digit Billing Format
69938010111

Clinical Specifications

Proprietary Name
Lidocaine Hydrochloride Viscous
Dosage Form
-

Regulatory & Marketing

Labeler Name
True Fit Rx Llc
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
07-06-2015
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 69938-101-11 identifies a specific commercial package of 20 ml in 1 cup of Lidocaine Hydrochloride Viscous, labeled by True Fit Rx Llc. 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 True Fit Rx Llc on July 06, 2015. The current certification is valid through December 31, 2017.

How is this True Fit Rx Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69938010111. 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)
69938-101-11
11-Digit CMS (5-4-2)
69938-0101-11

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