Levigolt
NDC Package 70112-150-01

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.

Levigolt is directions: Adults and children over 12 year: *apply a thin layer to affected area every 6 to 8 hours, not to exceed 3 applications in a 24-hour period *after applying, wash hands with soap and water *children 12 years or younger: ask a doctor. Marketed by Topicare Management, Llc, this product is identified by NDC 70112-150 and is authorized under FDA application part348.

Identification & Billing

NDC Package Code
70112-150-01
Package Description
1 TUBE in 1 CARTON / 76.5 g in 1 TUBE
Product Code
70112-150
11-Digit Billing Format
70112015001
Billing Unit
GM - Billing unit of "gram" is used when a product is measured by its weight.
Units Per Package
76.5 GM
RxNorm Crosswalk
  • RxCUI: 1595624 - lidocaine HCl 4 % / menthol 1 % Topical Cream
  • RxCUI: 1595624 - lidocaine hydrochloride 40 MG/ML / menthol 10 MG/ML Topical Cream
  • RxCUI: 1595624 - lidocaine hydrochloride 4 % / menthol 1 % Topical Cream

Clinical Specifications

Proprietary Name
Levigolt
Dosage Form
-
Usage Information
Directions: Adults and children over 12 year: *apply a thin layer to affected area every 6 to 8 hours, not to exceed 3 applications in a 24-hour period *after applying, wash hands with soap and water *children 12 years or younger: ask a doctor.

Regulatory & Marketing

Labeler Name
Topicare Management, Llc
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
05-09-2017
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 70112-150-01 identifies a specific commercial package of 1 tube in 1 carton / 76.5 g in 1 tube of Levigolt, labeled by Topicare Management, Llc. This product is billed per "GM" gram and contains an estimated amount of 76.5 billable units per package. 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 Topicare Management, Llc on May 09, 2017. The current certification is valid through December 31, 2019.

How is this Topicare Management, Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 70112015001. Quantities are measured in per "gm or gram", products billed per gram are products measured by weight.. There are 76.5 total billable units per package. 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)
70112-150-01
11-Digit CMS (5-4-2)
70112-0150-01

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