1st Medxpatch
NDC Package 72137-113-15

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

Package Information

1st Medxpatch (lidocaine, capsaicin, menthol, methyl salicylate) patches is fOR ADULTS AND CHILDREN 12 YEARS AND OVER. This formulation utilizes a patch delivery system. Marketed by 1st Medx Llc, this product is identified by NDC 72137-113.

Identification & Billing

NDC Package Code
72137-113-15
Package Description
10 PATCH in 1 POUCH / 1 PATCH in 1 PATCH (72137-113-01)
Product Code
72137-113
11-Digit Billing Format
72137011315
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
10 EA
RxNorm Crosswalk
  • RxCUI: 2001686 - capsaicin 0.0375 % / lidocaine 4 % / menthol 5 % / methyl salicylate 20 % Medicated Patch
  • RxCUI: 2001686 - capsaicin 0.000375 MG/MG / lidocaine 0.04 MG/MG / menthol 0.05 MG/MG / methyl salicylate 0.2 MG/MG Medicated Patch

Clinical Specifications

Proprietary Name
1st Medxpatch With Lidocaine 4%-rx
Non-Proprietary Name
Lidocaine, Capsaicin, Menthol, Methyl Salicylate
Substance Name
Capsaicin; Lidocaine; Menthol; Methyl Salicylate
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
FOR ADULTS AND CHILDREN 12 YEARS AND OVER. APPLY PATCH TO AFFECTED AREA 1 TO 2 TIMES DAILY OR AS DIRECTED BY PHYSICIAN. CLEAN AND DRY THE AFFECTED AREA. WASH HANDS WITH SOAP AND WATER AFTER APPLYING PATCH. RESEAL POUCH CONTAINING UNUSED PATCHES AFTER USE.

Regulatory & Marketing

Labeler Name
1st Medx Llc
Product Type
Human Prescription Drug
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
03-15-2018
Listing Expiration
12-31-2027
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.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 72137-113-15 identifies a specific commercial package of 10 patch in 1 pouch / 1 patch in 1 patch (72137-113-01) of 1st Medxpatch With Lidocaine 4%-rx, a human prescription drug labeled by 1st Medx Llc. This product is billed for "EA" each discreet unit and contains an estimated amount of 10 billable units per package. This patch is formulated for topical use and contains capsaicin; lidocaine; menthol; methyl salicylate 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 1st Medx Llc on March 15, 2018. The current certification is valid through December 31, 2027.

How is this 1st Medx Llc product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72137011315. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 10 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)
72137-113-15
11-Digit CMS (5-4-2)
72137-0113-15

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