Pain Relief Patch
NDC Package 69963-001-01

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.

Pain Relief Patch is  Adults: Apply Pain relief patch to the affected area not more than 3 to 4 times daily. Marketed by Hangzhou Jujiu Science & Biotechnology Co.,ltd., this product is identified by NDC 69963-001 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
69963-001-01
Package Description
5 KIT in 1 POUCH / .5 g in 1 KIT
Product Code
69963-001
11-Digit Billing Format
69963000101
RxNorm Crosswalk
  • RxCUI: 1659219 - capsaicin 0.025 % / menthol 5 % / methyl salicylate 5 % Medicated Patch
  • RxCUI: 1659219 - capsaicin 0.00025 MG/MG / menthol 0.05 MG/MG / methyl salicylate 0.05 MG/MG Medicated Patch

Clinical Specifications

Proprietary Name
Pain Relief Patch
Dosage Form
-
Usage Information
 Adults: Apply Pain relief patch to the affected area not more than 3 to 4 times daily.  For children under 12 years of age, consult your health care practitioner.  Open pouch and remove patch.  If desired, cut patch to size.  Peel off protective film and apply sticky side to desired area.  Remove patch before applying a new one.  Dispose of patch in waste receptacle.  If condition worsens, of if symptoms persist for more than 7 days or clear up and occur again within a few days, discontinue use of this product and consult a healthcare practitioner.

Regulatory & Marketing

Labeler Name
Hangzhou Jujiu Science & Biotechnology 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
07-10-2015
Listing Expiration
12-31-2019
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 69963-001-01 identifies a specific commercial package of 5 kit in 1 pouch / .5 g in 1 kit of Pain Relief Patch, labeled by Hangzhou Jujiu Science & Biotechnology 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 Hangzhou Jujiu Science & Biotechnology Co.,ltd. on July 10, 2015. The current certification is valid through December 31, 2019.

How is this Hangzhou Jujiu Science & Biotechnology Co.,ltd. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 69963000101. 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)
69963-001-01
11-Digit CMS (5-4-2)
69963-0001-01

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