Lidothol
NDC Package 72189-128-15

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 discontinued by the firm.

Lidothol is a formulation used to assist patients in the treatment of mild to moderate acute or chronic aches or pain. Marketed by Direct Rx, this product is identified by NDC 72189-128.

Identification & Billing

NDC Package Code
72189-128-15
Package Description
15 PATCH in 1 BOX
Product Code
72189-128
11-Digit Billing Format
72189012815

Clinical Specifications

Proprietary Name
Lidothol
Dosage Form
-
Usage Information
Lidothol is a formulation used to assist patients in the treatment of mild to moderate acute or chronic aches or pain. Muscle or joint pain can be due to muscle or ligament strains, simple backache, tendonitis, osteoarthritis, rheumatoid arthritis, peripheral neuropathies such as diabetic neuropathy or post herpetic neuralgia, and other complex regional pains. It can also be used to help with certain types of headaches, but use with caution when applying in order to avoid eye contact.Other uses may be considered if deemed clinically relevant.

Regulatory & Marketing

Labeler Name
Direct Rx
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
11-11-2020
End Marketing Date
08-14-2024
Listing Expiration
08-14-2024
Exclude Flag
D
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 72189-128-15 identifies a specific commercial package of 15 patch in 1 box of Lidothol, labeled by Direct Rx. 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 Direct Rx on November 11, 2020. The current certification is valid through August 14, 2024.

How is this Direct Rx product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 72189012815. 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)
72189-128-15
11-Digit CMS (5-4-2)
72189-0128-15

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