Lidozen Patch
NDC Package 71205-348-15

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

Package Information

Lidozen (lidocaine, menthol) patches is clean and dry affected area.Remove patch from backing and apply to affected area.Use only one patch at a time, and maximum of four patches / day.Leave patch on affected area for up to 8 hoursDo not use patches for longer than five consecutive days,Children under 12 should consult physician prior to use. This formulation utilizes a patch delivery system. Marketed by Proficient Rx Lp, this product is identified by NDC 71205-348 and is authorized under FDA application M017.

Identification & Billing

NDC Package Code
71205-348-15
Package Description
15 PATCH in 1 BOX / 1 g in 1 PATCH
Product Code
71205-348
11-Digit Billing Format
71205034815
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA
RxNorm Crosswalk

Clinical Specifications

Proprietary Name
Lidozen
Non-Proprietary Name
Lidocaine, Menthol
Substance Name
Lidocaine; Menthol, Unspecified Form
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)
Pharmacologic Class
Usage Information
Clean and dry affected area.Remove patch from backing and apply to affected area.Use only one patch at a time, and maximum of four patches / day.Leave patch on affected area for up to 8 hoursDo not use patches for longer than five consecutive days,Children under 12 should consult physician prior to use.

Regulatory & Marketing

Labeler Name
Proficient Rx Lp
Product Type
Human Otc Drug
FDA Application #
M017
Marketing Category
OTC MONOGRAPH DRUG -
Start Marketing Date
09-16-2019
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.

Other Available Packages

The following commercial packages are registered under the same Product NDC (71205-348). Click a package code to view its specific billing and regulatory data.

71205-348-05
5 PATCH in 1 BOX / 1 g in 1 PATCH
71205-348-30
30 PATCH in 1 BOX / 1 g in 1 PATCH

* 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 71205-348-15 identifies a specific commercial package of 15 patch in 1 box / 1 g in 1 patch of Lidozen, a human over the counter drug labeled by Proficient Rx Lp. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This patch is formulated for topical use and contains lidocaine; menthol, unspecified form 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 Proficient Rx Lp on September 16, 2019. The current certification is valid through December 31, 2026.

How is this Proficient Rx Lp product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 71205034815. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 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)
71205-348-15
11-Digit CMS (5-4-2)
71205-0348-15

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